Trauma Flashcards
3 causes of trauma
- accidental2. self-inflicted3. violence
4 major types of trauma
- open2. assault3. thermal4. psychological
type of child abuse most commonly observed
physical abuse due to injuries
2 types of issues considered neglect
- not providing food or shelter2. leaving young children unattended
potential causes of child abuse/neglect
- emotional maturity of the abuser2. stress due to economic, social, or employment difficulties3. poor parenting skills4. history of abuse in the perpetrator5. unrealistic expectation of the child6. limitations of a physically or mentally challenged child
3 symptoms in combination that indicate a shaken infant syndrome (SIS) diagnosis
- subdural hematoma2. cerebral edema3. retinal hemorrhage
caused by repeated rapid shaking of an infant due to caregiver irritation
shaken infant syndrome (SIS)
shaken infant syndrome (SIS) can also be due to ____ and catching them
tossing a baby into the air
shaken infant syndrome (SIS) can also occur due to jostling a baby in a ____ as the caregiver jogs or runs
back pack
7 types of actions considered as elder abuse
- physical abuse2. self-neglect 3. verbal abuse4. psychological abuse5. abandonment6. violation of personal rights7. financial abuse
two forms of psychological or verbal use
- active 2. passive
psychological or verbal use is hard to diagnose because there is no ____ evidence
physical
4 contributing factors of intimate partner violence (IPV)
- stress2. alcohol3. cultural and societal values that make wives “property”4. expectation of submission
5 causes of sexual abuse
- domination2. control3. power issues4. history of sexual abuse in the perpetrator5. sociopathic approach to society and its norms
t or f: rape/sexual assault are crimes of violence and domination, not a sexual act
t
rape/sexual assault includes these
- date rape2. acquaintance rape3. spousal rape4. violent act by an unknown assailant
cause of an abrasion
friction
3 types of avulsion
- partial2. degloving injury3. amputation
avulsion where avulsed tissue is still partially attached
partial avulsion
avulsion where the full thickness of skin is peeled away from the body such as the hand or foot
degloving injury
avulsion where a limb or appendage is completely severed
amputation
usual cause of an avulsion
entanglement in machinery, clothing, or some other means of entrapment
body parts most often involved in crush injuries
- fingers2. hand3. toe4. foot
it is important that underlying structures and tissues are inspected thoroughly with a puncture wound because ____ is often ____
bleeding; minimal
silent STD that often has no symptoms and unknowingly sexually transmitted
chlamydia
in chlamydia, high percentage of ___ have no symptoms before dangerous complications start
women
infection of the genitourinary tract
gonorrhea
symptoms of gonorrhea in males
purulent discharge
symptoms of gonorrhea in females
purulent dischargedysuria
protozoal infection of lower genitourinary tract
trichomoniasis
trichomoniasis affects the ___ in women and ___ in men
vagina; urethra
incurable, recurrent infection of skin of genital area, with ulcerations spread by direct skin to skin contact causing painful genital sores
genital herpes
genital infection that causes raised cauliflower-like growths in or near the vagina, rectum or along the penis
condylomata acuminata/genital warts
chronic, systemic STD; presence of painless but highly contagious local lesions called chancre on the genitalia
syphilis
soft chancre
chancroid
bacterial infection of genitalia causing necrotizing ulceration and lymphadenopathy
chancroid
physical, psychological, sexual injury to a child
child abuse
considered a form of child abuse
neglect
signs of psychological abuse is evident in ___ of the child
actions
sexual abuse is discovered ___ when complaints by child of discomfort in genital region
collaterally
injuries incurred by infant who has been shaken forcibly enough to cause intracerebral bleeding with resulting closed head injury
shaken infant syndrome (SIS)
another term for shaken infant syndrome (SIS)
shaken baby syndrome (SBS)
intentional and systematic diminishment of another’s self worth or self esteem
psychological or verbal abuse
most frequent victims of psychological or verbal abuse
children
threatened or actual phsyical abuse; pattern of behavior where victim is repeatedly physically assaulted by partner
intimate partner violence (IPV)
3 other terms for intimate partner violence
- domestic abuse2. spousal abuse3. battered spouse syndrome
any form of nonconsensual sexual contact or activity
sexual abuse
intercourse forced on victim against his or her will
rape/sexual assault
outer layer of skin scraped away exposing deeper layer of skin
abrasions
4 other terms for abrasions
- friction burns2. floor burns3. rug burns4. road rash
portion of skin and possibly underlying tissue torn away either partially or completely
avulsion
occurs when part of body is compressed with extreme force between two surfaces
crushing injuries
4 most common body parts affected by crushing injuries
- fingers2. hands3. toes4. feet
result of pointed or sharp foreign body penetrating soft tissue
puncture wounds
t or f. puncture wounds usually cause pain and very little bleeding
t
foreign body which caused injury that is protruding out of the wound
puncture wounds
sharp object cuts skin and possibly underlying soft tissue
laceration
laceration vs incision
laceration: jagged edgesincision: smooth edges
anything entering a portion of body where it does not belong is considered ___
foreign body
4 common bodies in ear
- bugs2. putting things in ear3. vegetative foreign bodies4. cotton from cotton swabs
3 treatments for foreign bodies in ear
- forceps removal2. gentle sunctioning3. washing or syringing ear
live bugs in ear may crawl out because of __
light
objects in eye that would normally not be found in the eye
foreign bodies in eye
treatment for foreign body in eye: gentle ___ with normal ___ to flush
irrigation; saline
another treatment for foreign body in eye is ___ used when foreign body is embedded in eye
eye spud
any object or foreign material causing obstruction in nares
foreign bodies in nose
children have tendency to insert foreign bodies in ___
nose
result of thermal insults to to tissue
burns
thermal insults can be caused by either ___ or ___ such as burns or frostbite
hot; cold
burns are caused by exposure of skin to these 8 factors
- flame2. dry heat3. liquid scalds4. burns5. radiation6. chemicals7. sun8. electricity
assessment tool used to quickly calculate the percent of skin surface area burned
rule of nines
3 treatment options for burns
- surgically2. debridement3. skin grafts
injury resulting from exposure to or contact with electricity
electrical shock
major concern with electrical shock
development of cardiac dysrhythmias
in electrical shock, the current follows this path through body
path of least resistance
current usually follows along ___ routes
nerve
injury occurring when individual is struck directly or indirectly (splash effect) by lightning
lightning injuries
lightning can strike in these 5 different ways
- direct strike2. contact strike3. side flash4. stride potential5. ground current
lightning strike directly by lightning discharge
direct strike
lightning strikes object contacted, causing transfer of energy
contact strike
lightning strikes object, travels a certain distance and “jumps” through the air and strikes person
side flash
lightning strike current enters one leg and exits out the other
stride potential
lightening hits ground and travels to person by way of ground
ground current
when body temperature is much higher than normal body temp of 98.6 Fahrenheit
extreme heat
extreme heat includes these 2 conditions
- heat exhaustion2. heat stroke
another term for extreme heat
hyperthermia
body’s heat regulating system is unable to cope with severe heat; more serious hyperthermia condition
heat stroke
in heat stroke, the individual stops ____
sweating
body temp in heat stroke
105 F or 40.5 C
results from salt or water depletion; less serious hyperthermia condition but can progress if untreated
heat exhaustion
generalized cooling of the body where core temp drops below 95F or 35C
extreme cold
another term for extreme cold
hypothermia
3 causes for hypothermia
- other cause2. cold water3. cold winds and environment
frozen or extremely cold tissue, usually on face, ears fingers and toes
frostbite
frostbite causes affected skin to become ___
white or ashen
person affected does not realize frostbite is happening due to ___ as tissue freezes
nerve loss
never be done to treat frost bite
rubbing skin area
patients with frostbite should never be given ___
alcohol
bite or sting from any insect or arthropod, which may involve injection of venom
insect bites
3 types of insect bites that require immediate medical attention
- scorpions2. black widows3. brown recluse spider
to treat insect bites, remove stinger by scraping across site of sting with ____ or ____
plastic card; fingernail
use of forceps/tweezers to remove sting in insect bites may squeeze more ___ into site
venom
severe systemic infection that does not transmit from person to person
rocky mountain spotted fever/tick bite
rocky mountain spotted fever/tick bite is more commonly called ___ in the US
rickettsial disease
symptom of rocky mountain spotted fever/tick bite
small hemorrhage appear under skin
rash occuring in rocky mountain spotted fever/tick bite
maculopapular rash
rocky mountain spotted fever/tick bite causative organism in bloodstream
Rickettsia Rickettsii
Rickettsia Rickettsii gets into blood stream due to ____
prolonged wood tick bite
malaria is a severe generalized infection caused by bite of ____ infected with ____
Anopheles mosquito; Plasmodium protozoa
3 elements in the cycle of symptoms in malaria
- chills2. fever3. sweats
symptoms of malaria last __ weeks
1-4
antimalarial drug given orally
chloroquine
source may be human, pet, wild animal
animal bites/human bites
treat animal/human bites by ____ to remove bacteria and contaminations
cleanse wound
animal/human bites may be treated by ___ surgery in some cases
plastic surgery
animal bites are treated with ___ if not possible to determine whether animal is rabid
rabies injections
penetrating tissue wound made by fangs or teeth of a snake
snakebites
4 poisonous rattlesnakes
- rattlesnakes2. copperheads3. water moccasins4. coral snakes
drug to treat snakebites
antivenin
when bitten by snake, ___ should not be applied
cold
when bitten by snake, would should not be ___
cut
when bitten by snake, ____ or ___ should not be applied
tourniquets; electrical shock
entrapment and compression of median nerve in the carpal tunnel causing pain and numbness in wrist, hands and fingers
carpal tunnel syndrome
2 diagnostic tests for carpal tunnel syndrome
- median nerve percussion2. phalen wrist flexor
carpal tunnel syndrome test where examiner taps his/her finger along the inside of affected wrist
median nerve percussion test
sign revealed in a median nerve percussion test
Tinel sign
carpal tunnel syndrome test where patient presses backs of hands together to bend wrist as far down as possible without applying force
phalen wrist flexor test
inflammatory condition of tissue at the distal portion of humerus
tennis elbow
medical term for tennis elbow
lateral humeral epicondylitis
5 treatment options for tennis elbow
- stop repetitive tasks2. rest3. wearing brace4. ice packs5. steroid injections
drug family used to treat tennis elbow
NSAIDs
index finger has lump or know appearing on flexor tendon
trigger finger
medical term for trigger finger
stenosing tenosynovitis
compression of brachial plexus nerves
thoracic outlet syndrome (TOS)
another term for thoracic outlet syndrome (TOS)
brachial plexus injury
thoracic outlet syndrome (TOS) is caused by repetitive tasks causing ____ of arms
continual hyperabduction
thoracic outlet syndrome (TOS) is also caused by continuous dropping of these 4 body parts
- cervical rib2. fibrous band3. shoulder girdle4. fibrous band that develops around the nerve plexus
inflammation of tendon usually caused by insult or injury to tendon
tendinitis/tendonitis
tendinitis/tendonitis is often associated with these 2 conditions
- calcium deposits and/or2. bursa around tendon
in frozen shoulder, adhesions are released ____
surgically
3 causes of trauma
- accidental2. self-inflicted3. violence
4 major types of trauma
- open2. assault3. thermal4. psychological