Pelvic, abdominal, and genitourinary trauma Flashcards
What is the best score for prehospital assessment of pelvic injury?
Perfusion status assessment
“Springing” a pelvis to assess stability can ___.
Destabilise a clot and provoke fresh haemorrhage.
True or false: pelvic fractures meet the QAS major trauma bypass guidelines.
True.
What is Kehr’s sign?
Pain from a ruptured spleen radiating up into left side/shoulder.
What is Murphy’s sign?
Pain from the gallbladder when patient inhales upon abdomen examination of right upper quadrant.
What is Turner’s sign?
Bruising of the flanks, indicating pancreatitis or injury.
What are the signs and symptoms of kidney trauma?
- Gross haematuria (blood in urine)
- Localised flank/abdo pain
- Pain/tenderness of lower ribs/upper lumbar spine/groin/shoulder/flank
- Hypovolaemia
What are the signs of extraperitoneal ureter rupture?
- Urine in umbilicus/anterior thighs/scrotum/inguinal canals/perineum
- Dysuria
- Haematuria
- Suprapubic tenderness
- Induration (redness secondary to tissue damage from urine)
What are the signs of intraperitoneal rupture?
- Urgency/inability to void
- Shock
- Abdominal distension
True or false: bleeding in the retroperitoneal space will not cause rigidity.
True.
Describe the management of abdominal evisceration.
- Do not replace organs into abdomen
- Cover exposed bowel with saline moistened multi-trauma dressing or loose cling wrap
- Cover first dressing with second dry dressing
