Brainscape's Knowledge GenomeTM

Browse over 1 million classes created by top students, professors, publishers, and experts.


See full index

GS 🪢 > Trauma > Flashcards

Trauma Flashcards

1
Q

What are the differentials of Trauma to chest? (8)

A

🔹 Dec breath sounds
1. Tension pneumothorax
2. Open (Traumatic) pneumothorax
3. Hemothorax
4. Tracheobroncial injury
🔹Beck’s triad
5. Cardiac tamponade
🔹Contusion
6. Cardiac contusion
7. Pulmonary contusion
🔹Broken rips
8. Flail chest

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
2
Q

What are the signs of Tension pneumothorax ?

A

Decrease breath sounds
Hyperreasonance
Trachea deviation (away)
🔺JVP

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
3
Q

What is the differentiating sign between
Tension & Open pneumothorax ?

A

Tracheal shift = Tension pneumothorax
Suction sound = Open/Traumatic

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
4
Q

Management of Tension pneumothorax:

A

Needle decompression
💡Ensure correct placement

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
5
Q

Management of Open pneumothorax:

A

Three-way dressing
Definitive: chest tube

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
6
Q

What are the signs of Hemothorax?

A

Decreased breath sounds
Dullness
Trachea shift (away)
➖ Flat JVP

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
7
Q

Management of Hemothorax:

A

Chest tube

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
8
Q

Persistent pneumothorax
With SC emphysema & pneumomediastinum

A

Tracheobronchial injury

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
9
Q

Next step in management of case with persistent pneumothorax:

A

“Bronchoscope”
Suspect Tracheobronchial injury

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
10
Q

What are the signs of cardiac temponade?

A

Beck’s triad
1. Muffled heart sounds
2. 🔻BP
3. 🔺JVP

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
11
Q

Management of cardiac temponade:

A

Pericardiocentesis

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
12
Q

Post MVA: chest ecchymosis, bounding pulse, Arrhythmia

A

Cardiac contusion

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
13
Q

Post MVA: new lung infiltrates

A

Pulmonary contusion

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
14
Q

Multiple broken rips & paradoxical breathing

A

Flial chest

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
15
Q

Management of Flial chest:

A

Analgesia + assisted ventilation

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
16
Q

Hypotension
Widened mediastinum
Tracheal shift to the Right

A

Thoracic aortic rupture

17
Q

Chest tube placement:
[…] ICS , […] line

A

Between 4th & 5th ICS
Mid axillary line

18
Q

Needle decompresaion placement:
[…] ICS , […] line

A

2nd ICS
Mid clavicular line

19
Q

Diagnostic needle placement:
[…] ICS , […] line

A

Between 8th & 10th ICS
Mid axillary line

20
Q

Thoracotomy is indicated if
Chest tube output of […]

A

1500 cc
Or ongoing 200-250cc within 2-4 hrs

21
Q

In the presence of injury to thoracic aorta & Splenic laceration with free fluid in the abdomen
What is the best next step in management?

Thoracotomy VS Laparotomy

A

Urgent laparotomy
Laparotomy always before thoracotomy

22
Q

Regarding abdominal trauma management
The 2 most important informations are
[…] & […]

A

🔸Mechanism (STAB vs BLUNT)
🔸Hemodynamic status (STABLE vs UNSTABLE)

23
Q

What mandate immediate laparotomy after abdominal trauma?

A

✔️CT or FAST +ve
✔️Omentum seen
✔️Evisceration
✔️Peritonitis or abd rigidity

24
Q

Case of abdominal trauma
Patient hemodynamically stable
Next step in management […]

A

CT scan

25
Q

Case of abdominal trauma
Patient hemodynamically unstable
Next step in management […]

A

Stab wound » laparotomy
Blunt trauma » FAST

26
Q

Case of abdominal trauma
Patient hemodynamically unstable
FAST was -ve
Next step in management […]

A

DPL
“Diagnostic peritoneal lavage”

27
Q

Case of abdominal trauma
Patient hemodynamically unstable
FAST was +ve
Next step in management […]

A

Laparotomy

28
Q

RTA with Triad of:
1. Seat-belt sign
2. Chance fracture
3.

A

Abdominal injury (Duodenal perforation)
or pancrease or spleen

29
Q

Patient underwent surgery after abdominal gunshot with splenectomy, pancreatectomy, removal pf parts if intestine and Hartman procedure. Next day he detriorate.
Most appropriate next step:

A. Exploration
B. US
C. XR
D. CT

A

Exploration

30
Q

The approach to neck trauma
Unstable (Expanding hematoma / uncontrolled hemorrhage) : […]

A

ligation

👀 Active bleeding is not unstable :)

31
Q

The approach to neck trauma
Stable Asymptomatic : […]

A

Zone 2 & 3
Observation

32
Q

The approach to neck trauma
Stable Symptomatic : […]

A

zone 2: open repair
zone 3: CTA » endovascular repair

33
Q

The approach to neck trauma
Zone 1 : […]

A

CTA + » Endovascular repair
Bronchogram/Esophagogram + » open repair

34
Q

MVA patient vitally unstable. On Exploratory Laparotomy he was found to have multiple liver lacerations.
Best management:

A

Perihepatic packing

35
Q

A 12 YO with history of blunt trauma to abdomen on imaging the spleen showed a 7 mm hematoma and 4 cm tear (grade 3)
Your management is : […]

A

Conservative «stable»

Splenectomy «unstable»
Only go for splenectomy if unstable

GS 🪢 (20 decks)

Brainscape helps you reach your goals faster, through stronger study habits.
© 2024 Bold Learning Solutions. Terms and Conditions