Abdominal Trauma

Question 1

ABDOMINAL SPACES

Answer 1

• PERITONEAL: SACK THAT HOLDS YOUR GUTS
• RETROPERITONEAL: KIDNEYS
• PELVIS: HIP BONES AND LOWER

Question 2

PERITONEAL CAVITY

Answer 2

LIVER, STOMACH, INTESTINES, SPLEEN, TAIL OF PANCREAS

Question 3

RETROPERITONEAL SPACE

Answer 3

KINDNEY, ADRENALS, VENA CAVA, AORTA

Question 4

PELVIS

Answer 4

LOTS OF MICRO VASCUALARITY, IF SHEARED EASY TO BLEED OUT

BLADDER, REPRODUCTIVE

Question 5

TYPES OF INJURIES

Answer 5

• BLUNT FORCE TRAUMA
• PENETRATING TRAUMA
• EVISCERATION

Question 6

BLUNT FORCE TRAUMA

Answer 6

BIGGEST CAUSE OF PELVIC INJURIES

MOSTLY FROM MVA

Question 7

PENETRATING TRAUMA

Answer 7

• STAB WOUNDS

- GUNSHOT WOUNDS

Question 8

EVISCERATION

Answer 8

• CAN HAPPEN WITH PENETRATING
• OR FROM VIOLENT IMPACT
• COVER AND TRANSPORT

Question 9

INITIAL ASSESSMENT

Answer 9

ABCDE
HI MY NAME IS KYLE WHAT IS YOUR NAME
ANSWER SHOWS ORIENTATION, PATENT AIRWAY
LOOK FOR INTERNAL BLEEDING BY BELLY SWELLING
EXPOSE EVERYTHING

Question 10

GASTRIC INJURIES SIGNS AND SYMPTOMS

Answer 10

• DIFFUSE ABDOMINAL PAIN
• ABDOMINAL DISTENTION
• PAIN UPON PALPATION
• ABDOMINAL WALL BRUISING
• RESPIRATORY DISTRESS
• SHOULDER PAIN (REFERRED)

Question 11

LIVER INJURIES

Answer 11

• MOST COMMON
• MAY OR MAY NOT NEED OPERATION
• MAY BE MILD OR LIFE THREATENING
• GRADED 1-6 BASED ON SEVERITY 6 IS WORST
• LOTS OF BLOOD IN LIVER, LOTS OF BRUISING

Question 12

LIVER INJURY SIGNS AND SYMPTOMS

Answer 12

• RIGHT UPPER QUANDRANT POINT TENDERNESS-
• DIFFUSE ABDOMINAL PAIN
• VISIBLE BRUISING TO RIGHT SIDE
• LEFT SHOULDER PAIN
• HYPOTENSION
• TACHYCARDIA
• PALE, COOL, CLAMMY SKIN

Question 13

SPLENIC INJURIES

Answer 13

• SIMILAR TO LIVER INJURIES BUT LEFT SIDE
• LEFT UPPDER QUADRANT PAIN, PINPOINT
• RESPIRATORY DISTRESS FROM PAIN FROM DIAPHRAM MOVING
• SHOULDER PAIN
• DIFFUSE ABDOMINAL PAIN
• ABDOMINAL BRUISING
• HYPOTENSION, TACHYCARDIA, PALE COOL SKIN

Question 14

RENAL INJURIES SIGNS AND SYMPTOMS

Answer 14

• DIFFUSE ABDOMINAL PAIN
• SEVERE FLANK, BACK OR PERCUSSIVE PAIN
• FLANK BRUISING
• SLOW, INABLE, BLOODY URINE
• HYPOTENSION/TACHYCARDIA, COOL CLAMMY SKIN

Question 15

PELVIC ORGAN INJURIES

Answer 15

• INSIDE THIGH BRUISING
• DIFFUSE ABDOMINAL PAIN
• INSTABILITY
• ASYMMETRY IN LOWER EXTREMETIES
• OUTWARD SIGNS OF TRAUMA
• HYPOTENSION, TACHYCARDIA, COOL CLAMMY SKIN
• BIND PELVIS LOW ON FEMUR TOP