GI

Question 1

Hepatic Injury

Grade 1, 2, 3, 4, 5?

Answer 1

1. Laceration/subcapsular hematoma < 1cm
2. Laceration/subcapsular hematoma >1 x 3 cm
3. Massive hematoma > 10cm or destruction/devascularization of one lobe, active arterial bleeding
4. destruction/devasculariziation of both lobes

Question 2

Splenic Injury

Grade 1-4?

Answer 2

1. Laceration/subcapsuular hematoma 1 x 3cm, or splenic capsular disruption
   4a. Active extravasation, vascular injury, or shattered spleen
   4b. Active intraperitoneal bleeding

Question 3

Balthazar Grade

Answer 3

A. NL
B. enlargement
C. Mild periinflamm changes
D. Single Fluid collection
E. Two more flud collecions

Question 4

CT severity index for balthazar grading

Answer 4

0-4 pts for balth A-E
0-6 pts for necrosis (total score 0-10)
0: 0% necr
2: 50% nec

Question 5

Renal Injury Grade

Answer 5

1. contusion/subcapsular hematoma
2. 1cm laceration, no urinary extrav
3. deep lac, urinary extra (collecting system), or renal a/v injury (OR TIME)
4. shattered kid/avulsed renal hilum (OR TIME)