TRAUMA-ABDOMINAL Flashcards
1
Q
Ex lap for penetrating abdominal trauma is next step if any of the following are present
A
Hemodynamic instability
Peritonitis
Evisceration
No additional dx imaging modalities necessary if any of these things are present.
2
Q
Evidence of free fluid in the pelvis without any solid organ injury may indicate ..
A
Bowel perforation and leakage of intestinal contents.
3
Q
Blood at urethral meatus and pelvic fracture - what’s the next step?
A
Retrograde urethrogram.
4
Q
Right renal vein injury with instability
A
Radical nephrectomy is indicated. No collaterals for drainage as there are with the left with adrenal and gonadal vv.
5
Q
During celiotomy for trauma, what are indications for c-section
A
Maternal shock Pregnancy near term Threat to life from exsanguination Risk of fetal distress exceeding risk for prematurity Unstable thoracolumbar spinal injury
