Day 4 - Trauma Quiz Flashcards Preview

Step 2 DIT Rapid Review > Day 4 - Trauma Quiz > Flashcards

Flashcards in Day 4 - Trauma Quiz Deck (16):
1

Radiographic study used to study injury to the urethra

Retrograde cystourethrogram

2

Sx basilar skull fracture

Racoon's eyes (orbital fracture), Battle sign (bruising of mastoid process), Blood behind TM, CSF out of nose/ears

3

Chest trauma, hypotension, JVD, muffled heart sounds - Dx & Mgt

Cardiac tamponade - Pericardiocentesis

4

Chest trauma, hypotension, JVD, respiratory distress - Dx & Next step

Tension pneumothorax - Needle decompression & chest tube placement

5

Next step for penetrating injury in different zones of the neck

Zone 1: CT angiogram (4-vessel angiogram); Zone 2: surgical expxloration; Zone 3: CT angiogram & triple endoscopy

6

Interventions effective in mgt of elevated ICP

Raise head of bed at 30 degrees; If intubate, give lidocaine first; Mannitol (IV q 6 hr); Intubating & hyperventilating pt; Definitive - Decompressing craniectomy

7

Criteria met prior to d/c of pregnant women being observed for traumatic event

Contractions limited to no more than 1 every 10 min; No vaginal bleeding or abdominal pain; Normal fetal heart tracing

8

Next step - Pelvic fracture, DPL shows blood in pelvis

Emergency laparotomy

9

Next step - Pelvic fracture, DPL shows urine in the pelvis

Urgent laparotomy

10

Next step - Pelvic fracture, DPL shows nothing, still hemodynamic instability

Assume retroperitoneal hematoma; Angiography w/ possible embolization

11

Blunt abdominal trauma, unstable VS, FAST shows fluid in pelvis

Emergency laparotomy (suspect fluid = blood)

12

Blunt abdominal trauma, unstable VS, FAST shows no fluid in pelvis

Assume retroperitoneal hematoma; Angiography w/ possible embolization

13

Blunt abdominal trauma, unstable VS, FAST inconclusive

Different study - DPL

14

Blunt abdominal trauma, stable VS

CT abdomen/pelvis

15

Abdominal stab wound, hypotensive, signs of peritonitis

Emergency laparotomy or celiotomy

16

Additional studies can be done in stable pt w/ abdominal stab wound that penetrated peritoneum

DPL, upright CXR, diagnostic US, Abdominal CT w/ contrast, or straight to diagnostic laparoscopy

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