Abdominal Injureis

Question 1

Tx for abdominal esophageal injuries

Answer 1

Primary repair
Drain placement

Question 2

Gastric injury tx

Answer 2

Highly suspicious if frank red blood in NGT/OGT
Primary repair vs resection

Question 3

Hepatic injury tx

Answer 3

Penetration injury: surgical needs
Blunt injury: CT evaluation, observation, and IR

Question 4

Duodenal injury types

Answer 4

Hematoma vs perforation

Question 5

Pancreatic injury tx

Answer 5

MRCP

Question 6

Most common abdominal injury

Answer 6

Splenic

Question 7

Treatment for splenic injury

Answer 7

CT
Minor encapsulated: observation
Major: Embolization vs splenectomy, vaccines

Question 8

S/s of abdominal injuries

Answer 8

Tachycardia, hypotension, ABD tenderness or distention, seatbelt sign, penetrating trauma, retroperitoneal ecchymosis, free fluid

Question 9

What type of trauma creates small bowel/colon injures

Answer 9

Penetrating trauma

Question 10

What type of trauma creates mesenteric injuries

Answer 10

Deceleration

Question 11

What does free fluid w/out solid organ injury suggest

Answer 11

Hollow viscus injury

Question 12

What signs indicate non-accidental trauma

Answer 12

Incongruent story, delay in treatment, multiple stages of injury, pattern of injury, multiple hospital visits, injury mechanism beyond scope of age, bite marks, submersion injury, cigarette burns