Abdomen and Pelvis Trauma Flashcards
what is the most commonly injured intraabdominal organ in sports?
spleen
what is kehr sign?
pain radiating to the shoulder from intraabdominal cause
what causes Kehr sign/what is the pathophysiology?
free air irritating the diaphragm in the peritoneum
what is the imaging of choice for intraabdominal injuries in sports in those patients who are hemodynamically stable?
CT with IV contrast
how are hemodynamically stable splenic injuries managed?
non operatively with monitoring, supportive care
for splenectomy, what three vaccinations should be given?
pneumococcal, meningococcal, H influenzae
liver traumatic injuries are graded in how many grades?
1-6
t/f there should be normalization of liver enzymes before RTP in liver traumatic injuries
true
t/f gross hematuria is a red flag for renal blunt trauma
true
what is the standard for imaging for the evaluation of renal blunt trauma?
CT with IV contrast
how many grades are there for blunt renal trauma?
1-5
t/f for return to play from renal injury you need pain resolution and resolution of hematuria
true
which type of blunt pancreatic injuries are more likely to need surgical intervention?
injury to the pancreatic duct
if you have suspicion for injury to the pancreatic duct, what two imaging studies should you consider in addition to CT with IV contrast?
ERCP/MRCP
which pelvic organ injury is associated with pelvic fracture?
bladder rupture
which form of bleeding occurs from a rupture of the epigastric artery/vein?
rectus sheath hematoma
what is the imaging option of choice for evaluation of testicular trauma?
doppler ultrasound
