Ch 27 the thorax and abdomen

Question 1

rib bones

Answer 1

12 total. 1-7 true, 8-10 false, 11-12 floating

Question 2

kidneys

Answer 2

filter and eliminate waste.

Question 3

liver

Answer 3

breaks down stuff

Question 4

gallbladder

Answer 4

stores bile

Question 5

pancreas

Answer 5

produces insulin

Question 6

stomach

Answer 6

mixing chamber

Question 7

small intestine

Answer 7

absorption and digestion or nutrients

Question 8

large intestine

Answer 8

eliminates waste

Question 9

spleen

Answer 9

stores RBC, eliminates old RBCs.

Question 10

prevention

Answer 10

protective equipment. strengthen abdominal muscles. empty hollow organs (stomach, bladder)

Question 11

bowel sounds

Answer 11

normal: gurgling, abnormal: no sounds

Question 12

rub contusion/ fracture

Answer 12

mech: direct blow. S&S: painful breathing, crepitus (grating/popping sound), painful with compression. MGMT: x-ray, ice, rest

Question 13

sternum fracture

Answer 13

mech:high impact trauma. S&S painful breathing, point tenderness, signs of shock. MGMT: refer to ER immediately

Question 14

pneumothorax

Answer 14

air in pleural space.

Question 15

tension pneumothorax

Answer 15

pressure on opposite lung

Question 16

hemothorax

Answer 16

blood in pleural space. coughing up frothy red blood

Question 17

traumatic asphyxia

Answer 17

direct blow causes breathing to stop

Question 18

hyperventilation

Answer 18

low levels of carbon dioxide in blood. breathing too fast, anxiety/panic. MGMT: slow breathing- in through nose out through mouth. calm them

Question 19

sudden cardiac death

Answer 19

hypertrophic cardiomyopathy, Marfan’s syndrome, coronary artery disease, anomalous origin of coronary artery. drugs/lightning/stroke. S&S: most no symptoms, chest pain with exertion, racing heartbeat, profuse sweating, shortness of breath. MGMT: diagnostic screening, history in PPE

Question 20

commotio cordis

Answer 20

mech:traumatic blunt impact to chest at exactly the right second of heartbeat, immediate death. prevention: protective equipment.

Question 21

kidney contusion

Answer 21

mech: direct blow. S&S hematuria, pain in abdomen, shock signs. MGMT: refer, water, ice

Question 22

liver contusion

Answer 22

mech:hard blow to right side. S&S: pain into the right scapula, shock signs. MGMT: refer

Question 23

appendicitis

Answer 23

mech: infection/inflammation of appendix. S&S: pain at mcburney’s point, fever, chronic/acute. MGMT:refer

Question 24

spermatic cord torsion

Answer 24

Mech:direct blow S&S: pain nausea/vomiting. MGMT: immediate referal

Question 25

spleen injury

Answer 25

mech: blow to left side. S&S: May be delayed. Kehr's sign: pain into left shoulder and arm. shock signs, deteriorating vitals, MGMT:immediate referral. Enlarged spleen: no contact activity

Question 26

hernia

Answer 26

protrusion of intestine through abdominal wall. history: lifting. pain in groin especiall with coughing/straining. MGMT: surgery

Question 27

blow to solar plexus

Answer 27

Mech direct blow to abdomen causes temporary paralysis to diaphragm.

Question 28

stich in side

Answer 28

sharp pain in side after exertion. MGMT: stretch, trunk flexion, walk and exhale while stepping on opposite foot

Question 29

what condition predisposes an athlete to injuries of the spleen?

Answer 29

mononucleosis

Question 30

the danger associated with a ruptured spleen is its

Answer 30

ability to splint itself, producing delayed hemorrhage.