Lange - Trauma

Question 0

Suspected esophageal perforation – diagnostic tests that can be used? Contraindictated diagnostic test?

Answer 0

esophagogram with Gastrografin

barium swallow

Question 1

Most definitive test for a lesion that needs operative correction in the pancreas?

Answer 1

ERCP

Question 2

Patient the bleeding liver – first step? Then?

Contraindicated?

Answer 2

Pack the liver. Then Pringle maneuver

Ligation of proper hepatic artery

Question 3

Most sensitive/specific study to diagnose injuries to the retroperitoneal duodenum?

Answer 3

CT scan with oral/IV contrast

Question 4

Patient with wound penetrating paratonia cavity – when to give antibiotics?

Answer 4

Preoperatively

Question 5

Coiled-spring or stacked-coin appearance of the duodenum suggests? Management?

Answer 5

Duodenal hematoma

NPO, hyperalimentation and repeat G.I. study in 5-7 day intervals

Question 6

Fear esophageal perforation – do not use what test?

Fear duodenal perforation – do not use what test?

Answer 6

Do not use Gastrografin – bad for lungs. Use barium.

Do not use barium – can cause peritonitis. Use gastrograffin.

Question 7

High riding prostrate means?

Answer 7

Urethra has been torn

Question 8

Scarpa’s fashion fuses with?

Answer 8

Fascia lata

Question 9

How to clear the C-spine?

Answer 9

Normal findings on AP, lateral, odontoid views of cervical spine