GI (abd injury/spleen) Flashcards
life threatening conditions related to abd trauma
hemorrhage
viscous perforation
which abd trauma has no open wound
blunt trauma
3 main causes of blunt abd trauma
MVC/falls
compression injury (contusions from direct blow)
shearing injury (rapid deceleration, liver tears from portal vein)
which abd trauma has an open wound
penetrating trauma
examples of penetrating wounds
GSW, stab
why is an initial assessment of abd trauma unreliable?
ETOH, drugs, dec. LOC
assessment of abd trauma
location (especially if penetrating)
cullen sign
grey turner sign
hematoma in flank
distended abd
what does presence of rebound tenderness in abd trauma mean
peritoneal inflammation
what does palpated subcutaneous emphysema suggest in abd trauma
free air from ruptured bowel
diagnostics for abd trauma
NG / foley (look for blood)
H&H, amylase
CT
US
peritoneal lavage
laraposcopy
what is the standard of care for medical management of abd trauma
non-operative management for stable pts (liver, spleen , renal)
which organ is most likely to be injured?
spleen
what is spleen injury usually associated with
blunt trauma / rib fx
what controls rate of leukocyte production/release
spleen
what does left upper quad pain radiating to left shoulder indicate
spleen injury (Kehrs)
