Chapter 28: Abdominal and Genitourinary Injuries

Question 1

Discuss

What’s tricky about pain abdominal pain in trauma setting?

Answer 1

It can be deceiving because it’s often diffuse, blood in the peritoneal cavity can produce pain in the entire abdomen, and there can be referred pain, too.

Question 2

Discuss

What’s Grey Turner Sign?

Answer 2

Bruising to RUQ, LUQ, or flank. Indicates injury to liver, spleen, or kidney.

Question 3

Discuss

What should EMT be suspicious for with bruising to LUQ, RUQ, or flank?

Answer 3

Injury to liver, spleen, or kidney (Grey Turner Sign)

Question 4

Discuss

What is Cullen’s sign?

Answer 4

Bruising around umbilicus. Indicates internal abdominal bleeding.

Question 5

Discuss

What does bruising around the navel indicate?

Answer 5

Possible internal abdominal bleeding (Cullen’s sign).

Question 6

Discuss

What does referred pain in the left shoulder possibly indicate with a pt with trauma to the abdomen?

Answer 6

Possible referred pain from peritonitis (Kehr sign), often associated with liver laceration.

Question 7

Discuss

What is Kehr sign?

Answer 7

Referred left shoulder pain from peritonitis, often from blood from liver laceration.

Question 8

Discuss

What’s Blumberg sign?

Answer 8

Rebound tenderness upon palpation of abdomen. Indicates peritonitis and sometimes appendicitis.

Question 9

Discuss

What does rebound tenderness of abdominal wall indicate?

Answer 9

Peritonitis.