I Flashcards
(42 cards)
fracture midshaft humerus, most likely injured?
radial nerve where it passes through radial groove
where would a fracture be that injures brachial artery
supracondylar fracture of humerus
signs and symptoms of brachial artery injury
pain, pallor, pulselessness, paresthesia and Pressure
signs of compartment syndrome
pain pallor pulselessness, paresthesia and pressure
claw hand
ulnar nerve damage
common sings of aortic root injury
anxiety, tachycardia and HTN
common after MVA and blunt trauma
initial test to rule out aortic injury
CXR
look for mediastinal widening
deviation of trachea or NG tube to the right or depression of Left mainstem bronchus
Left ventricular aneurysm is complication of what if it happens
transmural MI
CXR findings of pulmonary contusion
opacities from hemorrhage in lung segments
CXR findings of traumatic diaphragmatic rupture
herniations of abdominal contents into thorax
non healing wound for years. suspect what
malignancy with SCC– marjolin ulcer
GSW to abdomen indications for exploratory lapoarotomy
hemodynamically unstable
evidence peritonitis
evisceration of organs
after blunt trauma to abdomen with pain referring to shoulder
peritonitis and irritaiton of diaphragm– kehr sign
what part of bladder is damaged in blunt abdominal injury and why
dome of the bladder because it is the only part covered by peritoneum
causes of intestinal ileus
exaggerated intestinal reaction after surgery, retroperitoneal hemorrhage (vertebral fractures
symptoms paralytic ileus
failure to pass stool or flatus, abdominal distention, nausea and or vomiting, distended abdomen with tympany and decreased or absent bowel sounds
abdominal XR findings in patients with paralytic ileus
air fluid levels and distended gas filled loops of both small and large intestines
presentation of acute colonic pseudoobstruction
nausea, abdominal pain, abdominal distention, tympanic bowel sounds and hyperactive bowel sounds
signs of hypovolemic shock
hypotension, tachycardia, flat neck veins, confusion and cold extremities
major thoracic trauma with tachypnea and paradoxicacl thoracic wall movements that correct with positive pressure mechanical ventilation
flail achest
when there are multiple fractured ribs in two or more locations
early steps in managing flail chest
pain control and supplemental ozygen
signs of tracheobronchial injury
hemoptysis, penumomediastinum
air leak even after chest tube placement
sings of ischemic colitis
post surgery hae dull abdominal pain in area overlying ischemia with bloody diarrhea
CT ischemic colitis
thickening of bowel wall
