GI Trauma/Emergencies - part 2

Question 1

Who is usually affected by an Abdominal Aortic Aneurysm?

Answer 1

Older people

Question 2

AAA

Answer 2

Abdominal Aortic Aneurysm

Question 3

AAA’s require that the aortic diameter be greater than?

Answer 3

3 cm

Question 4

AAA’s require that the aortic diameter be greater than?

Answer 4

3 cm

Question 5

AAA’s are usually below ____ and progressively ____ over time

Answer 5

Below Renal A.s

Progressively dilate over time

Question 6

What can increase your risk of an AAA rupturing?

Answer 6

Smoking

Size of AAA

Question 7

3 categories of AAA’s?

Answer 7

Asymptomatic
Symptomatic and not ruptured
Symptomatic and ruptured

Question 8

Majority of symptoms for AAA’s?

Answer 8

ASYMPTOMATIC

Question 9

Majority of symptoms for AAA’s?

Answer 9

ASYMPTOMATIC

Question 10

What symptoms can present with AAA’s if they have yet to rupture?

Answer 10

Pain, limb ischemia, malaise, fever

Question 11

With an AAA, what classification would it be if the patient had pain, limb ischemia, fever, malaise?

Answer 11

Symptomatic but not ruptured

Question 12

Triad of symptoms for ruptured AAA’s?

Answer 12

Pain in abdomen/back
Hypotension
Pulsatile abdominal mass

Question 13

Triad of symptoms for ruptured AAA’s?

Answer 13

Pain in abdomen/back
Hypotension
Pulsatile abdominal mass

Question 14

Triad of symptoms for ruptured AAA’s?

Answer 14

Pain in abdomen/back
Hypotension
Pulsatile abdominal mass

Question 15

Pain, hypotension and a pulsatile mass =

Answer 15

Ruptured AAA

Question 16

Blunt trauma

Answer 16

Direct blow

Question 17

Penetrating trauma

Answer 17

Stab/GSWs

Question 18

Explosives

Answer 18

Blunt + Penetrating + inhalation trauma

Question 19

Majority of trauma cases are related to what?

Answer 19

MVC

motor vehicle collision

Question 20

Majority of trauma cases are related to what?

Answer 20

MVC

motor vehicle collision

Question 21

What solid organs are most commonly injured due to trauma?

Answer 21

Liver

Spleen

Question 22

What solid organs are most commonly injured due to trauma?

Answer 22

Liver

Spleen

Question 23

ABCDE of trauma

Answer 23

Airway
Breathing
Circulation with hemorrhage control
Disability/neurologic status
Exposure/Environment control

Question 24

ABCDE of trauma

Answer 24

Airway
Breathing
Circulation with hemorrhage control
Disability/neurologic status
Exposure/Environment control

Question 25

Due to the possibility of diaphragm injuries, what should not be used when putting in a chest tube?

Answer 25

Trochar

Question 26

Bike handlebar injuries commonly cause?

Answer 26

Duodenal injuries

Question 27

For duodenal and pancreatic injuries, what diagnostic test should you order?

Answer 27

CT with oral and IV contrast

Question 28

What causes pancreatic injuries?

Answer 28

Blow that compresses pancreas against vertebrae

Question 29

With genitourinary injuries, what sign is likely present?

Answer 29

Hematuria or gross bleeding

Question 30

What usually causes hollow viscus injuries?

Answer 30

Sudden deceleration (MVC)

Question 31

Do NOT delay _____ in order to obtain diagnostic studies

Answer 31

Transfer of care

Question 32

2 times when patients get a laparotomy (surgery) immediately?

Answer 32

1. Blunt trauma to abdomen with hypotension and (+) FAST scan
2. Intraperitoneal bleeding

Question 33

2 times when patients get a laparotomy (surgery) immediately?

Answer 33

1. Blunt trauma to abdomen with hypotension and (+) FAST scan
2. Intraperitoneal bleeding

Question 34

FAST scan purpose?

Answer 34

US to detect free fluid in peritoneum, pericardium and pleural spaces

Question 35

Ultrasound to detect fluid in peritoneum, pericardium and pleural spaces?

Answer 35

FAST

Question 36

4 locations for FAST scan?

Answer 36

Subxiphoid
Morrison’s pouch (right flank)
Perisplenic (left flank)
Pelvic (bladder)

Question 37

4 locations for FAST scan?

Answer 37

Subxiphoid
Morrison’s pouch (right flank)
Perisplenic (left flank)
Pelvic (bladder)