Trauma Flashcards

1
Q

In relation to the subclavian where is an aorta usually traumatically ruptured?

A

Distally - if ruptured proximally patient dies

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2
Q

Management of a bleeding liver”?

A

packing of liver - then relook

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3
Q

Hypertensive, Right / inferior MI, diastolic murmur during the 3rd trimester of pregnancy

A

Aortic dissection

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4
Q

Chest trauma and hypotension with a raised JVP

A

cardiac tamponade

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5
Q

Airway signs seen in a burns patient

A

indication for early intubation

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6
Q

Low hb and low reticulocyte count?

A

parovirus

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7
Q

what should you expect the reticulocyte count to do in acute sequestration/ haemolysis?

A

the reticulocyte count will increase

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8
Q

Which stroke is associated with hemisensory loss?

A

Lacunar stroke

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9
Q

What is the treatment for addisonian crisis ?

A

100mg IV hydrocortisone

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10
Q

What medication is used for OD of prilocaine?

A

methylene blue

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11
Q

What could cause haematemesis in burns?

A

Curlings ulcer - there is a high risk of perforation

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12
Q

What is an explanation of splenic trauma management ?

A

G1-3 monitor and g4 splenectomy (the hilum of the spleen is involved)

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13
Q

What is the urgent management of a non haemorrhage stroke?

A

if in 3 hour window then no aspirin and straight for thrombolysis

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14
Q

What is becks triad?

A
  1. muffled hear sounds, 2. hypotension, 3. raised JVP
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15
Q

What are J waves on an ECG indicative of ?

A

hypothermia

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16
Q

Explain anaphylaxis to penicillin?

A

Drug recognised by IgE, molecules on surface of mast then cause rapid degranulation with histamine release

17
Q

Patient complains of vertigo and dysarthria then sudden collapse?

A

Basilar artery occlusion

18
Q

What is orbital apex syndrome?

A

Extension of SOF syndrome - there is optic nerve compression SOF syndrome and ipsilateral afferent pupillary defect

19
Q

How do you test fluid for CSF?

A

beta 2 transferrin

20
Q

What is the best way to differentiatee haemorrhage and pneumothorax?

A

JV - is it collapsed or prominant

21
Q

What pathology causes a cushings ulcer?

A

increased ICP