Abdominal And Pelvis Trauma

Question 1

Hur delas anterior abdomen in, och vilka organ är at risk vid skada i detta område

Answer 1

Superior:
Costal margins
Inferior:
Inguinal ligament och symphysis pubis
Lateralt:
Anterior axillary lines

Organs at risk:
De flesta viscerala organen

Question 2

Gränser på thoraco abdomen och organs at risk

Answer 2

Superior:
Nippel line anteriort och infrascapular line posteriort
Inferior: costal margins

Organs at risk:
Diafragma, lever, mjälte, ventrikel

Question 3

Gränser för flanken och organs at risk

Answer 3

Superior:
6tt intercostal space
Anteriort:
Anterior axillary line
Posteriort:
Posteriort axillary line
Inferior:
Crista iliaca

Organs at risk:
De flesta hollow viscera, diafragma, lever, mjälte, magsäck

Question 4

Back

Answer 4

Superior: tip of scapula
Lateralt: posterior axillary lines
Inferior: crista iliaca
Includes posterior thoracoabdomen och retroperitoneal space

Organs at risk:
Aorta, vena cava, duodenum, pankreas, njurar, ureters, retroperitoneal colon ascendens och descendents

Question 5

Suspected injury pattern lap seat belt

Answer 5

Tear or avulsion of bowel mesentery (bucket handle)
Rupture of small bowel or colon
Iliaca artery or aortic thrombosis
Lumbar vertebral “chance” fracture
Pancreatic or duodenal injury

Question 6

Suspected injury pattern of shoulder harness

Answer 6

Upper abdominal viscera rupture

Intimal tear or thrombosis of innomimate, carotis, subclavian or vertebral arteries.

Cervikal spine fracture or dislocation

Rib fractures

Pulmonary contusion

Question 7

Suspected injury pattern air bag

Answer 7

Face and eye abrasions
Cardiac injury
Spine fractures

Question 8

How to stab wounds cause damage and most common organs injured?

Answer 8

Through lacerating and tearing
Most common organs affected is liver, small bowel, diaphragm and colon

Question 9

Signs of pelvic fracture

Answer 9

Evidence of rupture uretra (scoral hematoma or blood at uretral meatus)

Discrepancy in limb length

Rotational deformity of a leg without obvious fracture

Question 10

Indikationer för laparotomy för vuxna med trubbigt våld