trauma Head, Neck, And Chest

Question 1

Raccoon eyes, battle sign behind ears, tons of clear fluid out of ears or nose, what is the diagnosis?

Answer 1

Basal skull fracture

Question 2

Vessel and ct sign of epidural?

Process to death of epidural hematoma?

Answer 2

Middle meningeal and lens shaped

Trauma and Loc, lucid, death

Question 3

Vessel and CT sign of subdural hematoma?

Answer 3

Crescent and bridging veins

Question 4

In what setting will we be tested on concussion?
Two clinical signs to look for in the vignette?
How to diagnose concussion?

Answer 4

Sports
Loc and retrograde amnesia
Normal CT

Question 5

What type of trauma for diffuse axonal injury?
What is the clinical sign?
What will we see on CT?

Answer 5

Angular trauma
LOC to coma
Gray white matter blurring

Question 6

Signs and symptoms of pneumothorax?
Dx?
Treatment?

Answer 6

Dyspnea, resonance, decreased breath sounds,
CXR, vertical
Thoracostomy

Question 7

Sign and symptoms of hemothorax?
Dx?
Treatment?

Answer 7

Dyspnea, dullness to percussion, decreased breath sounds
CXR, horizontal line
Thoracostomy

Question 8

When do you go to OR for hemothorax?

Answer 8

If there is more than 1500 mls then it is probably a peripheral artery and you need to Ligate

Question 9

How do you treat a sucking chest wound?

Answer 9

Occlusive dressing

Question 10

Best way to diagnose aortic dissection?

Answer 10

CT angiogram

Question 11

What is becks triad of cardiac tamponade?

Answer 11

Hypotension, JVD, and muffled heart sounds