Trauma Flashcards

1
Q

Common sights of blood loss (internal) 4

A

Chest
Abdomen
Pelvis
Long bones

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2
Q

What is the biggest risk in open fractures?

A

Bone infection leading to osteomyelitis

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3
Q

What should be done to an open fracture wound first?

A

Photographed then irrigated

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4
Q

What should an open fracture wound be dressed with?

A

Saline soaked swabs

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5
Q

What prophylaxis should be given in an open fracture wound ?

A

AB and tetanus

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6
Q

What is performed in theatre on an open fracture wound?

A

Aggressive debridement

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7
Q

How is an open fracture stabalised?

A

External / internal fixation

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8
Q

Fracture defined as…

A

loss of continuity of the cortex of the bone

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9
Q

Simple fracture =

A

bone fractured in two pieces

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10
Q

Comminuted fracture =

A

a bone in 3 or more pieces

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11
Q

Segmental fracture =

A

a fracture at 2 levels of the same bone

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12
Q

undisplaced fracture =

A

fractured bone with it’s anatomy entirely unchanged

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13
Q

dispalced fracture =

A

components of the bone are no longer in their original anatomical position

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14
Q

4 causes of pathological fracture

A

Tumours
Metabolic bone disease
Infection
RA

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15
Q

Two planes for orthopaedic x-rays

A

AP and lateral

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16
Q

CT used for

A

complex fractures and to plan surgery

17
Q

Compartment syndrome =

A

excessive pressure in a closed fasical muscle compartment

18
Q

Early signs of compartment syndrome (2)

A

patient complains of excessive pain

increased pain on passive stretching of the muscles in that compartment

19
Q

Late signs of compartment syndrome (2)

A

paraesthesia

pulselessness

20
Q

What happens to muscles in compartment syndrome

A

necrosis

21
Q

If compartment syndrome is suspected, treat with?

A

emergency fasciotomy

22
Q

3 types of fracture treatment

A

Reduce
Hold - operative / non operative
Rehab

23
Q

tendon in the shoulder most commonly calcifies?

A

supraspinatus

24
Q

frozen shoulder , which movement usually most reduced

A

external rotation

25
Q

blood supply of the scaphoid enters?

A

distally

26
Q

NOF leg is….?

A

shortened and externally rotated

27
Q

classificaiton of NOF

A

intracapsular

extracapsular

28
Q

Extracapsular facture surgical management

A

dynamic hip screw

29
Q

instracapsular

  • elderly / poor mobility ->

Young active

  • displaced ->
  • undisplaced ->
A

Hemi arthroplasty

THR

DHS / cannulated screw

30
Q

Classification of ankle injuries

A

Below syndesmosis

Level of syndesmosis

Above the syndesmosis