Trauma Flashcards
In relation to the subclavian where is an aorta usually traumatically ruptured?
Distally - if ruptured proximally patient dies
Management of a bleeding liver”?
packing of liver - then relook
Hypertensive, Right / inferior MI, diastolic murmur during the 3rd trimester of pregnancy
Aortic dissection
Chest trauma and hypotension with a raised JVP
cardiac tamponade
Airway signs seen in a burns patient
indication for early intubation
Low hb and low reticulocyte count?
parovirus
what should you expect the reticulocyte count to do in acute sequestration/ haemolysis?
the reticulocyte count will increase
Which stroke is associated with hemisensory loss?
Lacunar stroke
What is the treatment for addisonian crisis ?
100mg IV hydrocortisone
What medication is used for OD of prilocaine?
methylene blue
What could cause haematemesis in burns?
Curlings ulcer - there is a high risk of perforation
What is an explanation of splenic trauma management ?
G1-3 monitor and g4 splenectomy (the hilum of the spleen is involved)
What is the urgent management of a non haemorrhage stroke?
if in 3 hour window then no aspirin and straight for thrombolysis
What is becks triad?
- muffled hear sounds, 2. hypotension, 3. raised JVP
What are J waves on an ECG indicative of ?
hypothermia
Explain anaphylaxis to penicillin?
Drug recognised by IgE, molecules on surface of mast then cause rapid degranulation with histamine release
Patient complains of vertigo and dysarthria then sudden collapse?
Basilar artery occlusion
What is orbital apex syndrome?
Extension of SOF syndrome - there is optic nerve compression SOF syndrome and ipsilateral afferent pupillary defect
How do you test fluid for CSF?
beta 2 transferrin
What is the best way to differentiatee haemorrhage and pneumothorax?
JV - is it collapsed or prominant
What pathology causes a cushings ulcer?
increased ICP
