Trauma: Abdominal Trauma

Question 1

Hepatic Injury S/Sx’s?

Answer 1

RUQ pain
Abdominal wall rigidity, spasm, or involuntary guarding
Hypoactive or absent BS
Signs of hemorrhage/hypovolemic shock

Question 2

Hepatic Injury Diagnostics include?

Answer 2

FAST exam
CT scan
DPL

Question 3

hepatic injury management includes?

Answer 3

non-op management (serial CBC’s, abd exams)
Ex-lap (if HD unstable/diffuse peritonitis)
Angio/embolization

Question 4

Splenic Injury S/Sx’s?

Answer 4

Signs of hemorrhage or hypovolemic shock
Kehr’s sign when laying supine or trendelenburg
LUQ tenderness
Abdominal wall muscle rigidity, spasm, or involuntary guarding

Question 5

Splenic Injury Diagnostics inlcude?

Answer 5

CT scan if HD stable, no peritonitis
eFAST
DPL - rarely used

Question 6

Splenic Injury Management?

Answer 6

non-op (serial CBCs, abd exam)
Surgery
Angio
Splenectomy

Question 7

What is required if splenectomy is done?

Answer 7

Pneumococcal, meningococcal, h. Influenzae vaccinations