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Flashcards in Abdo Trauma Deck (16)
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1

Organs in Right upper quadrant (5)

liver, gall bladder, right kidney, ascending colon, transverse colon

2

Organs in Left upper quadrant (6)

spleen, stomach, pancreas, left kidney, transverse colon, descending colon

3

Organs in right lower quadrant (5)

ascending colon, appendix, right ovary, right fallopian tube

4

Organs in left lower quadrant (4)

descending colon, sigmoid colon, left ovary, left fallopian tube

5

Umbilical Area

around navel, small bowel

6

Hypogastric Area

just above pubic bone, urinary bladder, uterus

7

Epigastric (4)

duodenum, liver, pancreas, stomach

8

Signs and symptoms of liver injury (3)

abdo pain, tenderness, rigidity

9

Signs and symptoms of spleen injury (1)

40% have none
Kehr's sign- referred pain to left shoulder tip caused by splenic haematoma causing diaphragmatic irritation

10

Stomach injury

acidic gastric contents

11

Small and large intestine injury

signs and symptoms are associated with other injuries
can be injured in penetrating trauma, compressive forces of MVA, shearing forces assoc with deceleration

12

kidneys and ureters injury signs and symptoms (5)

gross haematuria, localised flank/abdo pain, palpable mass, tenderness to lower ribs upper L spine and flank, pain in groin shoulder back and flank

13

Pancreas and duodenum injury

injury to duodenum usually assoc with pancreatic trauma

14

Dissecting AAA

Aneurysm localised or diffuse enlargement of an artery
occurs when vessel wall becomes weakened by trauma, vascular disease or infection

15

Signs and symptoms of dissecting AAA (8)

acute onset pain in mid upper abdo, may radiate to back, chest pain and present like AMI, hypotension, tachycardia, shock, N and V, diaphoresis, pulsatile mass

16

Causes of acute abdo pain (5)

H haemorrhage
I infection/infarction
P penetration
P perforation
O obstruction