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Kines 233 > Test 3.5 > Flashcards

Test 3.5 Flashcards

1
Q

What are the two types of abdominal injuries

A

Penetrating-easily detectable (time spent caring for)

Blunt trauma- time spent detecting

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2
Q

Why does the center punch automatic window breaker work better then your fist

A

Small surface area

High velocity

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3
Q

What are the two types of organs

A

Hollow and solid

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4
Q

What is a hollow organ

A

If injured can leak contents into abdominal cavity causing severe hemorrhage

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5
Q

What are solid organs

A

More commonly injured in sports

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6
Q

What does the Left upper portion of your abdominal contain

A 
Stomach
Spleen
Splenic flexure of colon
Tail of pancreas 
Left kidney
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7
Q

What does the upper right portion of the abdominal contain

A 
Liver 
Gallbladder
Hepatic flexure of colon
Head of pancreas
Right kidney
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8
Q

What does the bottom right portion of the abdominal contain

A

Cecum

Appendix

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9
Q

What does the bottom left portion of the abdominal contain

A

Sigmoid colon

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10
Q

Do organs continue to move when body stops ?

A

True

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11
Q

What do deceleration injuries often involve

A

Liver, spleen, kidney, abdominal viscera

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12
Q

What does physical exam for abdominal injuries include

A

Begin with ABCs assessment
BP, pulse, respiration rate
Abdominal examination

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13
Q

What’s Cullen’s sign

A

Ecchymosis in periumbilical area

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14
Q

What’s flanks called

A

Turners sign

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15
Q

True or false

Auscultation is done before percussion

A

True

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16
Q

What’s an abdominal wall contusion

A

Contusion in region of epigastrium may result in transient dypsnea

17
Q

How should abdominal wall contusion be treated

A

Rest

Athlete can return when symptoms stop

18
Q

What happens in cases when symptoms of abdominal wall contusion subside and return

A

Athlete may have undiagnosed hollow organ injury/injury to solid organ

19
Q

What do splenic injuries consist of

A

Caused by direct trauma to left lower chest/ upper left quadrant

20
Q

If pain is referred to left shoulder what injuries could be possible

A

Splenic injury

21
Q

What is pain to the left shoulder called

A

Kehrs sign

22
Q

What is ballone sign and what injury is it associated with

A

dullness in left flank and shifting position dullness in right flank

23
Q

What’s needed with post splenectomy/ repair

A

Most MDs recommend 3 months for abdominal to heal

Also recommend 6 months before return to sports

24
Q

What do liver injuries consist of

A

Uncommon in sports

Chief complaint is pain in upper right quadrant

CT scan is best modality for determining extent of injury

25
Q

What’s the MOI for liver injuries

A

Direct blow to the upper right quadrant

Deceleration type of injury, which disrupts the capsule

26
Q

What do renal injuries consist of

A

One of the most common
Most cases are mild, 10% of cases include nephrectomy
Pain in flank
Hematuria is most frequent finding

27
Q

What is needed to distinguish between sport-related and abdominal injuries related to hematuria

A

Repeated urine analysis

28
Q

What do intestinal injuries include

A

Rarely reported
Injuries to duodenum usually associated with direct blow to epigastric region or in conjunction with pancreas injury
Jejunal injuries are also rare

29
Q

What do pancreatic injures include

A

Rare and difficult to diagnose
Gradual onset
At should approach with high degree of suspicion until injury is benign

30
Q

What are non-traumatic abdominal injuries

A

Gastrointestinal symptoms

Marathon pancreatitis

31
Q

What does GI symptoms include

A

Cramping and blotting
Watery stools, bloody stools
Result of changes in mileage/intensity

32
Q

What does marathon pancreatitis include

A

Rare; comes on during event

More common in females and young runners

33
Q

What does postulated cause during marathon pancreatitis

A

Dehydration and ischemia

34
Q

What’s the most important point with abdominal injuries

A

To identify is if a life threatening injury exists

35
Q

What is appendicitis

A

Management based on clinical rather than lab findings

Be mindful of long travel

36
Q

What is ectopic pregnancy

A

Implantation of fertilized ovum outside of endometrial cavity

Result in massive hemorrhage, ruptured Fallopian tube, death

37
Q

What are factors with ectopic pregnancy

A

Cigarette smoking

Increasing age

38
Q

What is the presentation and evaluation of suspected ectopic pregnancy

A

Presentation: pelvic pain

Evaluation: vital signs
Will require pelvic exam by qualified clinician
Age of pregnancy is also considered along with various hormone levels

Kines 233 (20 decks)

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