ECITS Flashcards
What is the first step to assess an injured abdomen
Expose the skin
Hematuria is a cardinal sign of what injury
Renal and urinary tract
Dark brown color is bleed and upper UT
Bright red color is a bleed in the lower UT
Preventing vena cava syndrome should be done in all pregnant patients bet how many weeks gestation by tilting a backboard 15° to the left
20
Signs and symptoms of a diaphragmatic rupture
Abdominal pain Acute respiratory distress Decreased breath sounds Bowel sounds of the chest Sub Q emphysema
Two types of abdominal pain
Somatic
Visceral
Describe somatic pain
More of a surface type pain
Sharp and localized
Responds well to medication
Describe visceral pain
Comes from organs inside the body
Travels pain receptors in the nerves
Radiates
Typically in the thoracic abdomen and pelvis
What is evisceration
The protrusion of abdominal organs through the abdominal wall
Management of an evisceration
Cover with salt soaked sterile dressing
Keep warm
Do not replace
What type of organ tends to bleed the most
Solid organs
What type of organ tends to cause severe infections
Hollow organs
Name the solid organs
Liver, Spleen, kidney, pancreas
Name the hollow organs
Small and large intestines, Stomach, Bladder
How much of the cardiac output does deliver receive
25%
What organs should you suspect an injury in if there are rib fractures to the seventh through ninth rib
Liver
What organ should you suspect is injured or when a patient reports left upper quadrant tenderness
Spleen
An injury to the spleen can radiate pain where
To the left shoulder
Where is the pancreas located
Left side retroperitoneal space
A patient with the pancreas injury Will present with vague upper and mid abdominal pain that can radiate where
To the back
Is the stomach more commonly injured with a penetrating trauma or blunt trauma
Penetrating trauma
Name the structures with in the retroperitoneal cavity
Pancreas, kidney, vascular structures, part of the small intestine
What is Grey Turner’s sign
Ecchymosis of the flanks
What is Cullens sign
Ecchymosis around the umbilicus
What organ should you suspect injured with fractures to the 11th and 12th the ribs or flank tenderness
Kidney
