CH - 20 EMERGENT SURGINCAL PROCEDURES

Question 0

WHAT ARE THE REASONS FOR AN ER U/S?

Answer 0

INTERNAL HEMORRHAGE
ECTOPIC PREG
PERICARDIAL TAMPONADE
RUPTURED AAA

Question 1

WHAT IS THE MOST COMMON REASON FOR TRIP TO ER?

Answer 1

• LOWER GI SYSTEM
• GU SYSTEM (GENITAL/URINARY)
• CARDIAC
• ORTHOPEDICS
• RESPIRATORY

Question 2

THIS IS USED TO SAMPLE THE INTRAPERITONEAL SPACE FOR EVIDENCE OF DAMAGE TO THE VISCERA AND BLOOD VESSELS. IT IS DONE MY MAKING AN INCISION AT THE ML OR AT THE PARAUMBILICAL SITE SLICING MULTIPLE LAYERS

Answer 2

PERITONEAL LAVAGE

Question 3

WHAT ARE THE COMPLICATIONS TO A PERITONEAL LAVAGE?

Answer 3

INTRODUCES FLUID & AIR

ALSO RISKS PERFORATION OF BOWEL, BLADDER, VASCULAR, AND WOUND

Question 4

IS U/S USED DURING A PERITONEAL LAVAGE?

Answer 4

NO

Question 5

WHAT MODALITY IS THE FIRST CHOICE FOR INTERNAL BLEEDING?

Answer 5

CT

Question 6

WHAT IS “FAST”?

Answer 6

FOCUS ASSESSMENT w/ SONOGRAPHY for TRAUMA

- USED FOR LIMITED EXAMS OF ABD AND PELVIS

Question 7

WHAT IS EVALUATED DURING A “FAST” EXAM?

Answer 7

4 QUADRANTS, PERICARDIAL SAC, CUL-DE-SAD FOR BLUNT TRAUMA

Question 8

WHAT IS THE MOST COMMON SITE FOR FLUID ACCUMULATION?

Answer 8

MORRISONS POUCH

Question 9

THIS IS A CHARACTERISITIC WITH MIDEPIGASTRIC PAIN THAT RADIATES TO BACK .

Answer 9

PANCREATITIS

Question 10

WHAT ARE THE SONO FINDINGS FOR ACUTE CHOLECYSTITIS?

Answer 10

THICKENED GB WALL
POS MURPHY'S SIGN
SLUDGE
PERICHOLECYSTIC FLUID
DILATED GB

Question 11

WHAT ARE THE SONO FINDINGS FOR PANCREATITIS?

Answer 11

• NML TO EDEMATOUS GLAND
• NML TO HYPOECHOIC TEXTURE
• IRREGULAR BORDERS
• INCREASED VASCULAR FLOW