Surgery Vascular

Question 1

Blunt Trauma resulting in Left Hemothorax

Answer 1

Aortic Rupture

Question 2

Aortic Rupture dx

Answer 2

CT

Question 3

Aortic Rupture tx

Answer 3

antihypertensives

Question 4

Aoritc Rupture location

Answer 4

since most ruptures die in field, the ones that survive have ruptures contained by mediastinum. These ruptures are just distal to left subclavian

Question 5

side effect from mediastinal aortic rupture

Answer 5

Hypertension due to visceral reflexes and pseudocoarctation syndrome

Question 6

mediastinal free air… think what

Answer 6

esophageal rupture

Question 7

bronchial rupture

Answer 7

causes jvd and tension pneumothorax

Question 8

bronchial rupture vs. esophageal rupture

Answer 8

BR = hemothorax + pneumothorax and subcu emphysema and doesn’t resolve on chest tube ER = increase in amylase and widened mediastinum

Question 9

Ankle Brachial Index numbers

Answer 9

normal = 1 >1.3 = calcified vessels

Question 10

femoral artery anyeurism associated with what

Answer 10

AAA