Injuries to the Thoracic & Abdomen Region Flashcards
blow to the rib cage
Rib contusion MOI
pain while deep breathing
point tenderness
Rib contusion S/S
Rib Contusion TX
PRICEMM
NSAIDs
Direct or indirect trauma
Rib Fracture MOI
point tenderness
pain while breathing
sharp pain
S/S of rib fracture
Rib Fracture TX
Refer to MD
X-ray
T/F you sneeze hard enough to develop rib fracture
True
direct blow to the anterolateral aspect of the thorax
(movement in ribs 1-7 that is NOT normal caused by a separation of costal cartilage from the ribs)
Costalchondral Separation MOI
pain during sudden movement point tender; swelling; possible deformity
Costalchondral Separation S/S
rest; refer to MD; immobilization
Costalchondral Separation TX
High impact blow to the chest
Sternum Fracture MOI
the pleural cavity becomes filled with air
Pneumothorax DEF
may be spontaneous, appearing following activity or after a cough, or traumatic, due to punctured lung from rib fracture
Pneumothorax MOI
pain; difficulty breathing; cyanosis
Pneumothorax S/S
medical emergency
Pneumothorax TX
presence of blood in the pleural cavity
Hemothorax DEF
laceration of lung tissue; intercostals artery secondary to a penetrating rib fracture
Hemothorax MOI
pain; difficulty breathing; cyanosis
Hemothorax S/S
medical emergency
Hemothorax TX
violent blow
Traumatic Asphyxia MOI
purple discoloration in upper half of body; conjunctivas of the eyes are bright red; may have subcutaneous emphysema
Traumatic Asphyxia S/S
medical emergency
mouth-to-mouth ONLY
Traumatic Asphyxia TX
air bubbles right below the level of skin
subcutaneous emphysema
cardiac arrest
Commotio Cordis DEF
blunt impact to the chest during repolarization phase in the cardiac cycle
Commotio Cordis MOI
arrhythmia; death
^ use an AED to defibrilate
Commotio Cordis S/S
medical emergency
defibrillation
cardiopulmonary resuscitation
Commotio Cordis TX
direct blow to the back
Kidney Contusion MOI
signs of shock; nausea; vomiting; blood in the urine (hematuria)
Kidney Contusion S/S
blood in urine
hematuria
Kidney Contusion TX
refer to Md
blunt trauma to liver
Liver Contusion MOI
hemorrhage;
shock;
referred pain just below the right scapula, shoulder and substernal area; referred pain anterior left side of the chest
Liver Contusion S/S
hemorrhage;
shock;
referred pain just below the right scapula, shoulder and substernal area; referred pain anterior left side of the chest
Liver Contusion S/S
pain goes to certain places that ur not going to expect
referred pain
Liver Contusion TX
refer to Md
inflammation of the vermiform appendix
appendicitis MOI
pain in the lower abdomen
McBurney’s point
appendicitis S/S
1/3 of the distance between the anterosuperior iliac spine and the umbilicus-lower right
McBurney’s point
⅓ ASIS & belly button = push in
pushing in doesn’t hurt but you let go = ouch = rebound effect
McBurney’s point = appendicitis
T/F ppl can have 0 pain w/ McBurney’s point & have appendicitis
True
T/F ppl can have lots of pain w/ Mcburney’s point & have no appendicitis
True
direct blow to scrotum
Scrotal Contusion MOI
pain
hemorrhage
fluid effusion
muscle spasms
nausea
Scrotal Contusion S/S
put at ease;
reduce testicular spasm;
ice;
refer to MD
Scrotal Contusion TX
excess of fluid accumulation in the testicular area
Traumatic Hydrocele of the Tunica Vaginalis
DEF
severe blow
Traumatic Hydrocele of the Tunica Vaginalis
MOI
pain; swelling in the scrotum
Traumatic Hydrocele of the Tunica Vaginalis
S/S
ice; refer to MD
Traumatic Hydrocele of the Tunica Vaginalis
possible complication of testicular trauma; spontaneous in absence of trauma
Torsion of Spermatic Cord MOI
immediate or gradual onset of groin pain; heaviness in scrotum;
change in normal appearance of the testicle
(bld vessel is being blocked
not taken care of appropriately
testicle is going to die bc no bld flow)
Torsion of Spermatic Cord S/S
medical emergency (surgical or resolve on its own); refer to MD
Torsion of Spermatic Cord S/S
direct blow to spleen; fall
Injury of the spleen MOI
signs of shock; abdominal rigidity, nausea; vomiting
Injury of the spleen
Injury of the spleen TX
Refer to MD
reflex pain that radiates to the left shoulder and down the left arm
Kehr’s sign: Injury of spleen DIAG
spleen can become enlarge & distended
drops down below level of ribs
vulnerable to a direct blow
shock , abdomen rigidity , nausea & vomiting
when you have MONO
can spleen take care of itself
yes
Contusion of abdominal wall MOI
direct blow
hematoma; pain; tightness
Contusion of abdominal wall S/S
Contusion of abdominal wall TX
PRICEMM; NSAID’s
protrusion of the abdominal viscera through a portion of the abdominal wall;
maybe congenital or acquired ;
groin area;
more common in men
Inguinal Hernia DEF
Inguinal Hernia MOI
strain; direct blow
pain
prolonged discomfort
superficial protrusion shown by cough
weak
pulling sensation
Inguinal Hernia S/S
Inguinal Hernia TX
refer to MD; surgery
protrusion of the abdominal viscera through a portion of the abdominal wall;
maybe congenital or acquired femoral area; more common in women
Femoral Hernia DEF
Femoral Hernia MOI
strain; direct blow
pain;
prolonged discomfort; superficial protrusion;
weak;
pulling sensation
Femoral Hernia S/S
Femoral Hernia TX
refer to MD; surgery
appendicitis TX
refer to MD
Injury of spleen DIAG
Kehr’s Sign
wind knocked out
brief paralysis of the diaphragm
Blow to Solar Plexus
direct blow to abdomen
blow to solar plexus MOI
lack of oxygen
inability to inhale
may cause hysteria
Blow to solar plexus S/S
Reassuring athlete
Loosening clothing
bending knees to chest
encouraging athlete to initiate short inspirations & long expirations
blow to solar plexus
an idiopathic condition described as a cramp like pain
side stitch def
Usually develops during physical activity
can be caused by: constipation, intestinal gas, diaphragmatic spasm as a result of poor conditioning, or lack of oxygen, ischemia or either the diaphragm of the intercostals, lack of visceral support because of weak abdominal muscles, distended spleen, overeating
Side stitch MOI
cramp; sharp pain
side stitch s/s
relaxation of the spasm, by stretching the arm of the affected side ; flexing the trunk forward on the thighs
side stitch TX