Peer 9 - trauma Flashcards
Management of sternal fx?
pain control,
patient has pelvic open book fx and bleeding with concern for urethral injury. Order of management?
pelvic angio then retrograde urethrogram
gold standard for diagnosis of bladder rupture?
retrograde cystography
most common place for clavicle fx?
middle third of bone
testing for csf in rhinorrhea?
beta-2 transferrin
consequence of not draining a septal hematoma?
septal necrosis
le fort classification describes what kind of fx?
maxillary fractures with involvement of pterygoid plate
tension ptx symptoms?
tachycardia, hypotension, hypoxia, increased CVP, difficulty ventilating, unilateral decreased or absent breath sounds, jvd, subcutaneous emphysema, tracheal deviation
where do unilateral facet injuries occur?
most commonly at C3-C7, stable fx
signs of mandibular fx:
malocclusion, intraoral bleeding, trismus, chin deviation
Where does SCIWORA occur and who is more likely to be affected?
children, cervical spine, flexion/extension mechanism of injury
most common organ injuried in primary blast injuries?
lung
sx of laryngotracheal injury?
haoraseness, subcutaneous emphysema, sore throat, stridor, painful swallowing
imaging modality of choice for evaluation of traumatic renal injury?
ct scan with contrast
what are worsening factors in patients with TBI?
hypotension, hypoxia, hyperthermia
