Topic 26 of 74 in the MU Plovdiv syllabus for Special Surgery (Medicine, Year 4). The free AceMed note covers it in 14 sections, about 598 words (5 min of reading), with 17 flashcards.
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THEME VI: ABDOMINAL TRAUMA
What is the definition of ‘blunt abdominal trauma’?
What is the management of blunt abdominal trauma patients who are unstable and have intra-abdominal fluid on focused abdominal sonography in trauma (FAST)?
Which method of evaluation is used in patients with blunt abdominal trauma for whom mental status or concomitant injuries compromise the abdominal examination and focused abdominal sonography in trauma is unavailable FAST?
Which solid abdominal organ is mostly commonly injured in abdominal blunt trauma
What is the most common causes of spleen?
What is the definition of “delayed” rupture of spleen?
What is the definition of “Kehr’s Sign”?
Why liver is a frequently involved organ in penetrating and blunt abdominal trauma?
What is the clinical presentation intra-abdominal Hemorrhages in conscious patients?
What is the definition of “Haemobilla”?
Blunt abdominal traumas diagnostic plan with the aim to take decision to operate or not (FAST)?
Abdominal trauma - penetrating and blunt, dx (FAST scan), mx, solid vs hollow organ
blunt abdominal trauma, FAST scan, penetrating trauma.
What is the definition of ‘blunt abdominal trauma’?
Blunt abdominal trauma (non-penetrating) - is trauma in which traumatic object does not pierce the parietal peritoneum and the skin is usually no broken.
Blunt trauma can result in the laceration of solid organs usually causing bleeding, which in its most severe form manifests as haemorrhagic shock or as visceral perforation of the gastrointestinal tract.
What is the management of blunt abdominal trauma patients who are unstable and have intra-abdominal fluid on focused abdominal sonography in trauma (FAST)?
They require an emergent laparotomy to manage bleeding
Which method of evaluation is used in patients with blunt abdominal trauma for whom mental status or concomitant injuries compromise the abdominal examination and focused abdominal sonography in trauma is unavailable FAST?
In patients for whom mental status or concomitant injuries compromise the abdominal examination, diagnostic peritoneal lavage may provide valuable information.
Which solid abdominal organ is mostly commonly injured in abdominal blunt trauma
The spleen is listed the first most commonly injured, solid viscus in the abdomen despite its relatively protected site.
What is the most common causes of spleen?
Road traffic accidents and sports injuries.
What is the definition of “delayed” rupture of spleen?
Delayed" rupture of the spleen → occurs when the clinical signs develop after a delay of at least 48 hr from the initial injury.
It is generally believed to result from tearing of the capsule by the expansion of a subcapsular haematoma.
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