Penetrating Wounds and Ballistics Lecture Powerpoint

Question 1

Blood in the peritoneum often does not produce….

Answer 1

….peritoneal signs, massive hemoperitoneum may be present without abdominal distension

Question 2

A positive FAST exam would indicate need for immediate… (note that up to half of FAST exams can give false negatives as well!)

Answer 2

…Referral to the OR

Question 3

Best diagnostic study for hemodynamically stable*** patient suspected of intra-abdominal injury

Answer 3

CT scan

Question 4

In a GSW in the abdomen we want to do a good ___ exam before going for surgery

Answer 4

Peripheral neurological exam

Question 5

Any penetrating trauma of the core, from the scapular tip to the infragluteal fold, indicates concern for what type of injury?

Answer 5

Intraperitoneal

Question 6

Diagnostic modality of choice in gunshot wound patient, what is the best imaging study?

Answer 6

• Surgical exploratory laparotomy

- X ray (NOT CT)