Thoracic and Abdominal Injuries Flashcards

1
Q

True or false; there is no separation between the pelvis and the abdominal cavities

A

true

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2
Q

You have pain in the back left shoulder. Which organ may be affected?

A

spleen

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3
Q

You have pain in your back right shoulder - what organ could be affected?

A

liver and gallbladder

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4
Q

what general assessment would you perform to check for abdominal injuries?

A
  • breathing difficulties?
  • protrusion
  • bloat
  • swelling
  • are abdominal tight / guarding?
  • is athlete splinting
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5
Q

S&S rib fractures

A
  • pain when inhaling
  • coughing up blood
  • leaning towards injured side
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6
Q

pneumothorax

A

pleural cavity becomes filled with air, negatively pressurizing the cavity, causing a lung to collapse

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7
Q

tension pneumothorax

A

pleural sac on one side fills with air displacing lung and heart, compressing the opposite lung

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8
Q

hemothorax

A

blood in pleural cavity causes tearing or puncturing of the lungs or pleural tissue

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9
Q

traumatic asphyxia

A

result of a violent blow or compression of rib cage

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10
Q

true or false; lung injuries are a medical emergency

A

true, call 9-1-1

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11
Q

S&S hyperventilation

A
  • panic
  • difficulty breathing air in (in asthmatics, difficulty breathing air out)
  • belching
  • bloating
  • confusion
  • dizziness
  • palpitations
  • light-headedness
  • weakness
  • gasping
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12
Q

Marfan’s sydrome

A

weak aorta and cardiac vessels

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13
Q

hypertrophic cardiomyopathy

A

thickening of cardiac mm w/ decreased chamber size

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14
Q

Wolf-Parkinson White syndrome

A

ventricular tachycardia

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15
Q

true or false; choking cannot cause sudden cardiac death syndrome in athletes

A

false; choking can lead to cardiac death

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16
Q

true or false; most athletes do not exhibit any signs of coronary artery & peripheral artery disease prior to death

A

true

17
Q

hyperflexibility is seen in individuals with

a) Marfan’s syndrome
b) Wolf-Parkinson White’s syndrome
c) Hypertrophic cardiomyopathy
d) all of the above

A

A

18
Q

What are some screening questions you could ask to help determine risk of sudden cardiac death syndrome in athletes?

A
  • chest pain during exercise?
  • history of heart murmurs
  • periods of fainting during exercise
  • family history
  • thickening of heart or history of Marfan’s syndrome
19
Q

what must you do in the event of ventricular fibrillation?

a) chest compression
b) chest compression and mouth to mouth
c) use an AED
d) none of the above

A

C

20
Q

true or false; resuscitation of victim of commotio cordis is often unsuccessful

A

true; must used AED within 5 minutes of ventricular fibrillation

21
Q

S&S kidney contusion

A
  • shock
  • nausea
  • vomiting
  • mm guarding
  • hematuria (advise to check frequently for hematuria)
  • referred pain
22
Q

S&S ruptured bladder

A

inability to urinate

23
Q

S&S contused/ruptured bladder

A
  • ruptured - inability to urinate
  • pain/discomfort of lower abdominal region
  • abdominal rigidity
  • nausea
  • vomiting
  • shock
  • bleeding from urethra
  • increased quantity of bloody urine
  • referred pain
24
Q

what should you do if hematuria is present in the event of contused/ruptured bladder?

A
  • medical emergency
  • advise to check for hematuria for 48-72 hours
  • encourage individual to urinate frequently
25
Q

true or false; you should not encourage individual to urinate frequently in the event of contused/ruptured bladder

A

false; you should tell them to pee frequently

26
Q

Where would you expect pain to be in the event of appendicitis?

a) upper right quadrant of abdomen
b) upper left quadrant of abdomen
c) lower right quadrant of abdomen
d) lower left quadrant of abdomen q

A

C

27
Q

When should you refer to a physician in the event of scrotal contusion?

a) if pain is unresolved in 15-20 min
b) if pain is unresolved in 20-30 min
c) always
d) never

A

A

28
Q

S&S Scrotal contusion

A
  • hemorrhaging
  • fluid effusion
  • mm spasm
  • severe pain
  • nausea/vomiting
  • shock
29
Q

Kehr’s sign

A

ruptured spleen referral to left shoulder/arm

30
Q

true or false; ruptured spleen is a medical emergency

A

true

31
Q

contusion of solar plexus

A
  • localized tenderness
  • slight swelling / bruising
  • difficulty breathing
  • may become cyanotic or go into shock
  • may lead to arrest -> compression and rescue breaths
  • diaphragm going into temporary spasm
  • GENERALLY TRANSITORY
32
Q

how would you manage side stitches (abdominal cramps)

A
  • stop activity and stretch arm overhead

- flex trunk on thighs while tightening abdominals