Injuries to Thorax & Abdomen - CH. 27 Flashcards

1
Q

name the solid organs that make up abdominal viscera

A
liver
spleen 
kidney 
pancreas
adrenal glands
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2
Q

name the hollow organs that make the abdominal viscera

A
stomach
intestines(s/l)
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3
Q

as a general rule, blood in cough is an indication of what kind of injury?

A

lung injury

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4
Q

what organ(s) would you suspect with a referral pain at the top front and back of the right shoulder - right side under ribs?

A

liver and gall blader

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5
Q

what organ(s) would you suspect with a referral pain at the L chest and down the arm?

A

heart and spleen

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6
Q

what organ would you suspect with a referral pain at the low back?

A

kidneys

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7
Q

describe a cheyene stokes

A

breathing that speeds up and down and could last from 1-3 min intervals

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8
Q

describe biot’s breathing

A

normal breathing to no shit at all

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9
Q

describe apneustic breathing

A

big pauses during inhalation

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10
Q

describe thoracic breathing

A

no use of diaphragm

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11
Q

describe how a crackle would sound

A

popping sounds

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12
Q

describe how a strider would sound

A

continuous wheezing

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13
Q

describe how a stertor would sound

A

harsh crackling sounds (fireworks like)

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14
Q

term for snoring

A

ronchi

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15
Q

term for crackling and bubbling sounds

A

rales

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16
Q

when auscultating the stomach, what should you hear?

A

gurgling, liquid sounds

no sounds indicate a possible obstruction

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17
Q

test to use for health of organ?

A

percussion

hollow organs - make a hollow sound

solid organs - barely make any sounds (dull)

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18
Q

describe a flail chest

A

associated with paradoxal breathing - rib section thats fractured will move in opposite direction as it should during normal breathing patterns

rib 5-9 are common to fx

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19
Q

mng of rib contusions, flail chest, rib fx

A

swath with pad over top

  • may reduce symptoms of pain when breathing in or out
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20
Q

describe a costochondral subluxation/dislocation

A

mx - traume to anterolateral rib cage

TOP at site + apparent rib deformity

21
Q

describe rib tip syndrome

s/s
mng?

A

impinge intercostal nn - sharp/ stabby pain

test: hook fingers to bring inferior ribs down
(+) test produces click

compression wrap and tensor for now - possible joint mobs may help

22
Q

when you see tracheal deviation, what does that usually indicate?

A

pneumothorax or tension pneumothorax (air filled in the pleural cavity causing the lung to collapse or be pushed aside)

23
Q

mx of hemothorax and s/s?

A

blood being filled within the pleural cavity - due rupture of pleural cavity

difficulty breathing
bloody cough?

24
Q

s/s of traumatic asphyxia?

A

mx - direct blow to chest - compression of rib cage - you stop breathing

purple head
conjunctiva of eye becomes bright red

25
Q

mx/ etiology of sudden cardiac death syndrome?

A

Marfan’s syndrome - weakening of the structures along the vessels - leading to rupture of vessels and aorta

hypertrophic cardiomyopathy - thickening of heart mm and chambers become smaller

weird course of blood vessel - obstructs coronary artery

ventricular tachycardia

26
Q

what would you hear as you auscultate a person with a heart murmur? what are the two types?

A

sounds: clicking or whooshing/ swishing

2 types:
f(x) al : any heart murmur with no original infection or disease to cause it

abnormal: blood flow through a damaged valve

27
Q

describe commotio cordis?

A

mx: direct blow to the chest = cardiac arrest
blow is usually during repolarization phase

s/s - v. fib
mng: CPR/ AED

28
Q

which causes more trauma to an organ? an empty one or distended one?

A

distended

29
Q

s/s of kidney contusion

A

blood in urine

pain and stiffness in lowback

30
Q

s/sof kidney stones

mng?

A

referred pain in the back / groin

can’t find a comfortable position but pacing helps

burning sensation and blood in urine (maybe)

mng: agua

31
Q

difference between bladder contusion and bladder rupture?

A

bladder contusion can still allow you pee but itll be painful

vs.

bladder rupture you can’t pee at all

32
Q

prevention strategy to overcome contusions of kidneys, bladder, urethra

A

empty out fluids before games and practices

watch for distance running

33
Q

s/s of cystitis or UTI

A

pain while urinating / blood in urine

urge to urinate

mng: safe sex , wipe front to back!!

34
Q

classic sign of urethritis

A

burning pain while peeing

mng: antibiotics

35
Q

s/s of GI bleeding

A

bleeding in stools
abd. P
dehydration

36
Q

referral pain for liver contusion

A

right scapular area and substernal area

37
Q

s/s of pancreatitis

A

pain epigastric area
nausea, constipation
potential shock

mng: rehydration

38
Q

s/s of food poisoning

A

nausea, vomiting
lasts 3-6 hrs - 24/48 at most

mng: electrolyte replenishment

39
Q

s/s of IBS

A

pain in lower abdomen but relieved by pooping - irregular pooping schedule

40
Q

what are hemorrhoids and how can you mng?

A

bleeding of the vessels due to pooping - usually heals within 3 wks

mng: proper bowel habits
1 tsp of mineral oil to lubricate stool

41
Q

describe mcburney’s point

A

indication of appendicitis

refer to MD

42
Q

what positions can you put the athlete to ease their pain after a scrotal contusion?

A
  1. kneeling position and bounce up and down
  2. supine 90/90 with valsalva
  3. cold pack to scrotum

if pain doeesn’t subside after 15-20 min - refer to MD

43
Q

what’s the time cap for referring to MD afrer suspected testicular torsion?

A

6 hours

44
Q

s/s and symptom of injuries to spleen?

A

Kher’s sign
referred pain L chest and down arm
hx
abd. rigidity

45
Q

explain what a herinia is a the common places for it to occur

A

protusion of abdominal viscera through the abdominal wall (cause you’re weak as shit)

inguinal area: weakness of the injuinal canal
femoral area: usually through the femoral triangle

46
Q

s/s of strangulated hernia

mng?

A

TOP of area
feeling of weakness and pulling sensations

mng: surgery

exercise doesn’t actually help - awks

47
Q

management of direct blow to solar plexus?

A

ensure that the patient can breathe again

slow breaths - fast in and long out
tx for shock

48
Q

mng of a “stitch”

A
  1. stretch arm to same side
  2. flex trunk and flex abdomen
  3. standing on opposite foot and exhaling