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Flashcards in HA Ch.20 Deck (39)
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1

Limited examination of the abdomen or pelvis to evaluate free fluid or pericardial fluid

Focused assessment with sonography for trauma

2

Collection of bloody fluid in the abdomen or pelvis secondary to trauma or surgical procedure

Hemoperitoneum

3

Imprisonment or confinement of a part of the bowel; the visceral contents cannot be reduced

Incarcerated hernia

4

Procedure used in radiography wherein contrast is administered intravenously to help the technician visualize the urinary system

Intravenous urography

5

Invasive procedure that is used to sample the intraperitoneal space for evidence of damage to viscera and blood vessels

Peritoneal lavage

6

Condition seen in a patient with aortic dissection

Pseudodissection

7

Capable of being replaced in a normal position; the visceral contents can be returned to normal intraabdominal location

Reducible hernia

8

An incarcerated hernia with vascular compromise

Strangulated hernia

9

This procedure, called ___________, is used to sample the intraperitoneal space for evidence of damage to the viscera and blood vessels

Peritoneal lavage

10

Peritoneal lavage is usually used as a diagnostic technique in certain cases of _________ abdominal trauma

Blunt

11

Peritoneal lavage carries a risk of organ injury and decreases the specificity of subsequent ultrasonography or computed tomography (CT) because of the introduction of __________ fluid and air

Intraperitoneal

12

The _________ scan in the emergency department is a limited examination of the abdomen or pelvis to evaluate free fluid or pericardial fluid

FAST

13

In the context of traumatic injury, free fluid is usually a result of ___________ and contributes to the assessment of the circulation

Hemorrhage

14

The FAST scan area of evaluation is widespread, extending from the pericardial sac to the urinary bladder and including the __________ area (including Morison's Pouch), the _____________ region (including splenorenal recess), ___________ and __________________

Perihepatic, parasplenic, paracolic gutters, cul-de-sac

15

Accessibility and _____________ of performance are critical in the trauma setting

Speed

16

The goal is to scan the ____________ quadrants, ___________ sac, and cul-de-sac for the presence of free fluid or hemoperitoneum

Four, pericardial

17

Hemorrhage in the peritoneal cavity collect in the most _________ area of the abdomen

Dependent

18

_____________ lacerations or contusions are more easily detected with ultrasound than they are any other visceral abdominal injury

Liver

19

A brisk intraparenchymal hemorrhage may be identified as a(n) ___________ region within the abnormal parenchyma, whereas a global parenchymal injury may project into the liver as a widespread architectual disruption with absence of the normal vascular pattern

Anechoic

20

In female patients of reproductive age with trauma, free fluid isolated to the cul-de-sac is likely __________

Physiologic

21

If the patient is female with symptoms of right upper quadrant pain, fever, and leukocytosis, ________________ should be ruled out

Acute cholecystitis

22

The most common cause of acute cholecystitis is __________ with a cystic duct obstruction

Cholelithiasis

23

Midepigastric pain that radiates to the back is characteristic of ___________

Acute pancreatitis

24

Sonographic findings in acute pancreatitis show a normal to edematous gland that is somewhat __________ to normal texture

Hypoechoic

25

Flank pain caused by ___________ is a common problem in patients presenting to the emergency department

Urolithiasis

26

If the stone completely obstructs the ureter, no ________ will present

Hematuria

27

When obstruction occurs, ultrasound is very effective in demonstrating the secondary sign of ___________

Hydronephrosis

28

With the bladder distended, the color Doppler is an excellent tool to image the presence of ureteral jets into the bladder; the transducer should be angled in a(n) ________ presentation through the distended urinary bladder

Cephalic

29

The pulse repetition frequency should be _________ to assess the low velocity of the ureteral jet flow

decreased

30

A(n) _________ is a condition in which a propagating intramural hematoma actually dissects along the length of the vessel, stripping away the intima and, in some cases, part of the media

Dissecting aortic aneurysm

31

Most aortic dissections will occur at one of three sites:

Root of the aorta with extension into the arch,
level of the left subclavian artery with extension into the descending aorta or abdominal aorta,
Only at the level of the ascending aorta

32

Most aortic dissections are located in the ___________ aorta

Ascending

33

____________ hypertension is nearly always associated with aortic dissection

Systemic

34

The most typical presentation of an aortic dissection is that of a sudden onset of severe, tearing_________ pain radiating to the arms, neck, or back

Chest

35

With appendicitis, the patient will usually have rebound tenderness,"___________ sign," associated with peritoneal irritation

McBurney's

36

A(n) __________ forms when the abdominal wall muscles are weakend, which allows the viscera to protrude into the weakend abdominal wall

Hernia

37

Sonography allows visualization of the__________ movement of the bowel during Valsalva maneuvers and determines the presence or absence of vascular flow within the defect

Peristaltic

38

Most paraumbilical hernias contain __________, _________, and_________

Colon, omentum and fat

39

The patient should be instructed to perform a(n) ___________ maneuver to determine the site of wall defect and confirm the presence of the protruding hernia

Valsalva