Brainscape's Knowledge GenomeTM

Browse over 1 million classes created by top students, professors, publishers, and experts.


See full index

EMR > Abdominal/Chest Injuries > Flashcards

Abdominal/Chest Injuries Flashcards

1
Q

What is Important to note when dealing with Bullet Wounds?

A

Path of the Bullet
-deflects easily off of bones, creates more problems
-suspect penetrated lung, spleen, liver.

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
2
Q

What is a Flail Chest?

A

Fracture of 2 or more adjacent ribs in 2 or more places that allows free movement of fractured segment.

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
3
Q

What is Paradoxical Movement?

A

movement of ribs in flail segment

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
4
Q

What is a pneumothorax?

A

air in the chest cavity

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
5
Q

What is a hemothorax?

A

blood/fluid in the chest.

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
6
Q

What is a Tension Pneumothorax?

A

a type of pneumo, in which air enters but cannot escape

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
7
Q

What is Visceral Pain?

A

•Hollow Organs - Crampy, colicky
•Solid Organs - Dull, Persistent

Organ pain, dull/achey intermittent pain…difficult to locate.

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
8
Q

What is Parietal Pain?

A

•Parietal peritoneum pain…widespread, easier to locate.

-usually accompanying internal bleeds, and infection.

-sharp and constant pain, worsens with activity.

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
9
Q

What is Tearing pain?

A

•the most common kind

•stomach and aorta are the only areas that can feel this pain.

-commonly a AAA or stomach ulcers.

  • feels hot, searing, and tearing.
How well did you know this?
1
Not at all
2
3
4
5
Perfectly
10
Q

What is referred pain?

A

-Felt in over places, not where pain originates, due to where the nerves return to spinal cord.

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
11
Q

What organs are in the Left Lower Quadrant?

A

-left Kidney
-left Ureter
-Bladder
-Blood Vessels
-Nerves
-left Fallopian tube
-left Ovary

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
12
Q

Questions to take note of for Female PHX for Abdominal Pain…

A

-What a regular period looks like
-When the last period started and ended
-If last period was late, due, or early
-If there is bleeding unrelated to period
- What the flow of previous period was, and what is considered normal for patient
-If there is common/unusual pain, and the last time it happened
-If there is a possibility of pregnancy

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
13
Q

What is Care protocol for Internal Bleeding?

A
  1. Maintain ABC’s
  2. Consider High Flow/High Conc O2
  3. Control any external bleeds
  4. If shocky - O2
  5. If suspected internal bleed of extremity- apply appropriate splint/tourniquet
  6. Preserve temperature
  7. Transport urgent.
How well did you know this?
1
Not at all
2
3
4
5
Perfectly
14
Q

What are the Signs and Symptoms of an Abdominal Injury?

A

-pain
-cramps
-nausea
-weakness
-thirst
-obvious puncture
-obvious laceration
-wounding to pelvis, mid/lower back, or chest wounds
-indication of blunt trauma
-Shock
-coughing/vomiting blood
-rigid/tender abdomen
-distended abdomen
-laying still, legs drawn up

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
15
Q

What is a simple pneumothorax?

A

a hole in the lung

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
16
Q

what is an open pneumothorax?

A

a hole in the chest wall

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
17
Q

What is a spontaneous pneumothorax?

A

a weak spot or tear in the lung

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
18
Q

What are the 3 degrees of penetrating trauma?

A

Low Energy - knife/sharp objects
High Energy - rifles/handguns
Shotgun - injury dependent on distance between gun and patient

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
19
Q

What are the Solid Organs in the body?

A

-spleen
-liver
-pancreas
-kidneys

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
20
Q

What are our Hollow Organs?

A

-stomach
-gallbladder
-duodenum
-large intestine
-small intestine
-bladder

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
21
Q

What are the signs and symptoms of Traumatic Asphyxia?

A

-JVD
-head/neck/shoulders dark purple
-bloodshot/bulging eyes
-swollen/blue tongue and lips
-chest deformity/tenderness

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
22
Q

What are the signs and symptoms of Cardiac Tamponade?

A

-JVD
-Weak Pulse
-Low BP
-Steady/decreasing pulse

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
23
Q

What are the signs and symptoms of An Aortic Injury/Dissection?

A

-tearing chest pains
-L/R vitals will differ
-Pulsating mass at the umbilicus
-Cardiac arrest

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
24
Q

What is positional asphyxia?

A

Inadequate breathing or respiratory arrest cause by body positioning that affects breathing

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
25
Q

What is the Peritoneum?

A

The membrane that lines the abdominal cavity, and covers the organs.

The cavity is the - parietal peritoneum

The covering is - Visceral Peritoneum

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
26
Q

What is the Retroperitoneal Space?

A

Space between the back and the peritoneum

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
27
Q

What are the signs and symptoms of a Spontaneous Pneumothorax?

A

-chest pain
-shortness of breath
-sweating
-tachycardia
-low SPO2
-hypotension

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
28
Q

What is the treatment for a Spontaneous Pneumothorax?

A
  1. Oxygen
  2. Position of Comfort
  3. ALS
  4. Transport
How well did you know this?
1
Not at all
2
3
4
5
Perfectly
29
Q

What is compartment syndrome?

A

-injury is caused when tissues are constricted within a space from swelling.

Progression
-injury causes bleeding and swelling within extremities
-pressure and swelling becomes so great that the body cannot perf used against the pressure
-cellular damage occurs, adding more pressure and swelling
-blood flow to area is lost

30
Q

What are the Blunt force trauma divisions?

A

-Blast
-crush
-deceleration

31
Q

The collarbones to the _____ is the thoracic cavity

A

diaphragm

32
Q

What are the 3 general signs and symptoms of a chest cavity wound?

A

-respiratory difficulty
-uneven chest wall movements
-loss/reduction of breath sounds on one sode

33
Q

What are the signs and symptoms of a pneumothorax?

A

-respiratory difficulty
-hypoxia and cyanosis
-shock (weak rapid pulse, low bp)
-JVD
-tracheal deviation

34
Q

What are the signs and symptoms of a Hemothorax?

A

-respiratory difficulty
-hypoxia and cyanosis
-shock (weak rapid pulse, low bp)
-JVD
-tracheal deviation
-red frothy sputum

35
Q

What is the care for a hemothorax and hemopneumothorax?

A
  1. open the airway
  2. O2
  3. dress open wounds
  4. shock care
  5. transport and consider ALS
36
Q

What is the care for traumatic asphyxia?

A
  1. open airway
  2. O2
  3. dress any open wounds
  4. care for shock
  5. transport
  6. ALS
37
Q

What is the care for cardiac tamponade?

A
  1. open airway
  2. O2
  3. dress open wounds
  4. transport and care for shock
38
Q

What are the steps of care for penetrating chest trauma?

A
  1. scene safety
  2. ALS
  3. Open airway
  4. seal chest wound
  5. position of comfort
  6. high concentration O2
  7. shock
  8. transport
39
Q

What is the care for a flail chest?

A
  1. high conc O2
  2. PPV if needed
  3. ALS
  4. Monitor breathing rates and other vitals
40
Q

What is the care for a Tension/Simple Pneumothorax?

A
  1. contact ALS
  2. seal open chest wounds
  3. open dressing if suspected tension
  4. maintain airway, high conc O2
  5. Position of comfort
41
Q

What would pain in the left lower quadrant indicate?

A

-diverticular disease
-pelvic pain
-groin pain
-inguinal hernia

42
Q

What would pain in the left middle quadrant indicate?

A

-kidney stones
-diverticular disease
-constipation
-inflammatory bowel

43
Q

What would pain in the left upper quadrant indicate?

A

-stomach ulcer
-duodenal ulcer
-biliary colic
-pancreatitis

44
Q

What would pain in the right upper quadrant indicate?

A

-gallstones
-stomach ulcer
-pancreatitis

45
Q

What would pain in the right middle quadrant indicate?

A

-kidney stones
-UTI
-constipation
-lumbar hernia

46
Q

What would pain in the right lower quadrant indicate?

A

-appendicitis
-constipation
-pelvic pain
-groin pain
-inguinal hernia

47
Q

What would pain in the middle upper quadrant mean?

A

-stomach ulcer
-heartburn or indigestion
-pancreatitis
-gallstones
-epigastric hernia

48
Q

What would pain in the middle mid quadrant mean?

A

-pancreatitis
-early appendicitis
-stomach ulcers
-inflammatory bowel
-small bowel
-umbilical hernia

49
Q

What would pain in the middle lower quadrant indicate?

A

-urine infection
-appendicitis
-diverticular disease
-inflammatory bowel
-pelvic pain

50
Q

What are the signs and symptoms of kidney stones?

A

-fever
-stomach pain
-vomiting
-dizziness
-blood in urine
-back ache

51
Q

What is the care for kidney stones?

A

-airways
-o2
-POC
-transport

52
Q

What are the signs and symptoms of pancreatitis?

A

-vomiting
-fever
-tachycardia
-tripodding
-radiates to back
-gradual/sudden/severe central pain

53
Q

WhT is the care for pancreatitis?

A

-airway
-oxygen
-poc
-transport

54
Q

What are the signs and symptoms of cholecystitis?

A

-fever and leukocytosis
-jaundice
-nausea/vomiting
-anorexia
-fat intolerance
-feeling of fullness
-ABD distension
-pain in RUQ, right shoulder, and radiates to back and increases with deep breaths

55
Q

What is the care for cholecystitis?

A

-airway
-oxygen
-POC
-transport

56
Q

What are the proper steps to care for an evisceration?

A

DO NOT SHOVE ORGANS BACK IN

  1. apply sterile dressing
  2. remoisten regularly
  3. keep patient warm
57
Q

What are the signs and symptoms for a dissecting Aortic Aneurysm?

A

-sudden/severe pain
-radiating to back and groin
-hot, searing, tearing sensation
-pulsating mass at umbilicus
-signs and symptoms of shock

58
Q

What are the proper steps of care for a dissecting aortic aneurysm?

A
  1. Handle very gently.
  2. do not sit up
  3. High concentration, oxygen.
  4. Consider ALS.
  5. urgent transport
  6. Be prepared for sudden death.
59
Q

what are the signs and symptoms of ectopic pregnancy?

A

-Missed menstrual cycle and signs of pregnancy
-Abdominal pain lowdown on one side
-Vaginal bleeding or brown watery discharge
-Pain in the tip of shoulder
-Discomfort with bowel movements and urination

60
Q

What is the proper care for an ectopic pregnancy transfer?

A

-maintain airway
-High concentration, oxygen
-Position of comfort
-Immediate transport

61
Q

What are the signs and symptoms of Renal Colic?

A

-acute sudden pain in back/side and will radiate to abdomen and groin
-blood in urine
- nausea and vomiting
-no position brings comfort

62
Q

What is the proper care for renal colic?

A
  1. maintain airway
  2. O2
    3.POC
    4.transport and consider ALS
63
Q

What is the care for a flail chest or rib fracture?

A

-ALS
-Position of Comfort
-shock care
-hold pillow against chest.

64
Q

What is the care for an evisceration?

A
  1. cover exposed area
  2. do not attempt to shove back in
  3. treat for shock
  4. care for other injuries
65
Q

What are common complications that come with chest and abdomen injuries?

A

-disruption of breathing
-hemorrhaging and shock
-disruption of organ function
-infection

66
Q

What are the signs and symptoms of Appendicitis?

A

-sudden pain on right side of abd
-nausea and vomiting
-loss of appetite
-fever
-constipation/diarrhea
-bloating

67
Q

What is the care for Appendicitis?

A
  1. maintain airway
  2. oxygen
  3. position of comfort
  4. ALS and transport
68
Q

What are the signs and symptoms of testicle torsion?

A

-sudden or severe pain in scrotum
-swelling of scrotum
-nausea or vomiting
-one testicle is higher or in a strange position
-frequent urination
-fever

69
Q

What is the care for testicle torsion?

A
  1. maintain airway
    2.02
  2. position of comfort
  3. transport
70
Q

Assessing an Abdominal Injury

A

-patient will be in pain (rapid or intense onset)
-cramps
-nausea
-weakness
-thirst
-physical injuries to abdomen, pelvis, lower back, chest or diaphragm
-evidence of blunt force trauma or bruising
-shock
-vomiting coffee grounds or red sputum
- TRD in the abdomen
-patient is guarding abdomen
-lying very still

71
Q

What is the proper care for a closed abdominal wound?

A
  1. stay alert for vomit
    2.place patient on back with legs flexed
    3.oxygen
    4.ALS
    5.treat for shock
    -no meds by mouth

EMR (30 decks)

Brainscape helps you reach your goals faster, through stronger study habits.
© 2024 Bold Learning Solutions. Terms and Conditions