Last minute cards

Question 1

Grade 1 Splenic Injury

Answer 1

Laceration under 1 cm

Subcapsular hematoma under 10%

Question 2

Grade 2 Splenic Injury

Answer 2

Laceration 1-3 cm

Subcapsular hematoma 10-50%

Question 3

Grade 3 Splenic Injury

Answer 3

Laceration over 3cm

Subcapsular over 50%

Question 4

Grade 4 Splenic Injury

Answer 4

Ruptured subcapsular/parenchymal hematoma

Question 5

Grade 5 Splenic Injury

Answer 5

Hilar or segmental vascular injury

Devascularized over 25% of spleen

Question 6

Retroperitoneal Zone 1 Definition and Injury

Answer 6

Central abdominal aorta/IVC

ALWAYS explore

Question 7

Retroperitoneal Zone 2 Definition and Injury

Answer 7

Lateral abdomen above the pelvis (renals)

Explore if expanding hematoma and unstable

Question 8

Retroperitoneal Zone 3 Definition and Injury

Answer 8

Pelvis (iliacs)

Do NOT explore in blunt trauma, explore and pack in penetrating

Question 9

Bilroth I construction

Answer 9

Creation of an anastomosis between the duodenum and the gastric remnant (gastroduodenostomy)

Question 10

Bilroth II

Answer 10

Constructed by sewing a loop of jejunum to the gastric remnant (gastrojejunostomy)