Abdominal Injuries Flashcards
What are the 2 regions of the abdominal cavity?
Peritoneal and Retroperitoneal
What is in the “true abdomen” peritoneal cavity?
1) solid organs
2) portions of the large intestine
3) most of the small intestines
4) female reproductive organs
What is in the retroperitoneal cavity?
1) kidneys
2) ureters
3) inferior vena cava4) aorta
5) pancreas
6) much of the duodenum
7) ascending descending colon and rectum
Difference in injury between Solid/Vascular structures vs hollow?
Hollow leaks
Solid bleeds
Most common organ damaged by GSW?
Small bowel
Most common organ damaged by blunt trauma?
Spleen
What type of injury is an IED/blast injury?
Penetrating
What is the most reliable indicator of intra-abdominal bleeding?
Presence of hypovolemic shock from an unexplained source
What may seat belt sign indicate?
Intra-abdominal injury in the bowel
How much blood in abdomen will cause distension?
1.5L
Consider diaphragmatic injury if bowel sounds are heard over the thorax
Ok
How do you eliminate rib shadow with a FAST exam?
rotate counterclockwise at RUQ or clockwise in LUQ
Type of FAST probe?
curvilinear or phased-array
What is in the RUQ?
kidney, diaphragm, Morison’s pouch, hemithorax (mirror image), inferior tip of the liver, subdiaphragmatic space
What is in the LUQ?
liver, kidney, diaphragm, Morison’s pouch, hemithorax (mirror image), inferior tip of the liver, subdiaphragmatic space
