TCAR module 5- abdominal injuries 2025
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4 potential sites of energy transfer in a crash - ANSWER
if a patient has a positive seat belt sign, they are likely to have at least 3
abdominal injuries due to the transfer of energy - ANSWER
seat belt sign - ANSWER high probability of peritoneal injury
grey turner sign - ANSWER flank bruising
concerning for retroperitoneal bleeding
obese drivers are 20-80% more likely to die as a result of a collison -
ANSWER
fixed points...
hollow structures...
solid structures...
in response to energy application - ANSWER tear
pop
crack
encapsulated organs... - ANSWER spleen, liver, kidneys
kehr's sign- - ANSWER pain from diaphragmatic irritation that is
referred to the left shoulder. this classic pain is most commonly the result
of blood under the left hemi-diaphragm leaking from a bleeding spleen
which two solid organs are most likely to be damaged in blunt abdominal
injury? - ANSWER spleen or liver
besides the kidneys, which organs or structures are completely
retroperitoneal? - ANSWER the aorta
vena cava
spine
, why are serum lipase and amylase enzymes elevated after a pancreatic
injury? - ANSWER because a damaged pancreas will leak
digestive fluid (amylase and lipase) into the tissues which will be
absorbed into the blood stream
used to help diagnose pancreatic injuries- these injuries arent always as
obvious on CT scanning
PE exam:
delayed onset burning epigastric pain
nausea
trauma patients with retroperitoneal bleeding are usually managed... -
ANSWER non operatively
space is limited in the retroperitoneum, minor or moderate bleeding will
usually tamponade itself, making non op management the most common
treatment option
patients with a shattered kidney or great vessel tear can experience
extensive blood loss that will require invasive intervention
signs of bowel perforation - ANSWER fever, rebound tenderness,
and an elevated WBC count
PE findings of a liver injury - ANSWER RUQ pain, high ALT and
AST levels
If "free air" is identified on a trauma patient's abdomen, where it the
patient likely to go next - ANSWER the operating room. why?
free air indicates perforation of one of the hollow, air-filled abdominal
structure: the bowel, the stomach, or rarely, the esophagus
such injuries can only be adequately visualized and repaired in surgery
Update|Most Tested Questions And
Verified Solutions (Already Graded A+)|
Assured Success !!!
4 potential sites of energy transfer in a crash - ANSWER
if a patient has a positive seat belt sign, they are likely to have at least 3
abdominal injuries due to the transfer of energy - ANSWER
seat belt sign - ANSWER high probability of peritoneal injury
grey turner sign - ANSWER flank bruising
concerning for retroperitoneal bleeding
obese drivers are 20-80% more likely to die as a result of a collison -
ANSWER
fixed points...
hollow structures...
solid structures...
in response to energy application - ANSWER tear
pop
crack
encapsulated organs... - ANSWER spleen, liver, kidneys
kehr's sign- - ANSWER pain from diaphragmatic irritation that is
referred to the left shoulder. this classic pain is most commonly the result
of blood under the left hemi-diaphragm leaking from a bleeding spleen
which two solid organs are most likely to be damaged in blunt abdominal
injury? - ANSWER spleen or liver
besides the kidneys, which organs or structures are completely
retroperitoneal? - ANSWER the aorta
vena cava
spine
, why are serum lipase and amylase enzymes elevated after a pancreatic
injury? - ANSWER because a damaged pancreas will leak
digestive fluid (amylase and lipase) into the tissues which will be
absorbed into the blood stream
used to help diagnose pancreatic injuries- these injuries arent always as
obvious on CT scanning
PE exam:
delayed onset burning epigastric pain
nausea
trauma patients with retroperitoneal bleeding are usually managed... -
ANSWER non operatively
space is limited in the retroperitoneum, minor or moderate bleeding will
usually tamponade itself, making non op management the most common
treatment option
patients with a shattered kidney or great vessel tear can experience
extensive blood loss that will require invasive intervention
signs of bowel perforation - ANSWER fever, rebound tenderness,
and an elevated WBC count
PE findings of a liver injury - ANSWER RUQ pain, high ALT and
AST levels
If "free air" is identified on a trauma patient's abdomen, where it the
patient likely to go next - ANSWER the operating room. why?
free air indicates perforation of one of the hollow, air-filled abdominal
structure: the bowel, the stomach, or rarely, the esophagus
such injuries can only be adequately visualized and repaired in surgery
