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8 Cards in this Set

  • Front
  • Back
Positive result for DPL
- Flank blood on aspiration (>20ml in adult, >10ml in child)
- RBC >100,000/ml in blunt & > 5,000/ml in penerating inj
- >500 WBC/ ml
- bile
- food particles
Grading for Spleenic trauma
Grade I - subcapsular haematoma <10%
Grade II - subcapsular haematoma 10-50%
Grade III - subcapsular >50%
Grade IV - devascularisation of >25%
Grade V - completely shattered
PS: Grade III IV need laparotomy
Most common organ injury in blunt trauma?
a. Spleen
b.Liver
c. Kidney
d. bowel
e. pancreas
a. Spleen
Most common organ injury in penerating trauma?
a. Spleen
b.Liver
c. Kidney
d. bowel
e. pancreas
b. Liver
Which is not true for liver trauma?
a. CT is the investigation of coice
b. difficult to repair
c. associated with lower right rib fracture
d. normal LFT exclude liver injury
e. presented with right shoulder tip pain
d. LFT is low specificity in liver trauma
Grade of Liver injury?
grade I - subcapsular non expanding <10%, tear <1cm
grade II - subcapsular 10 -50%, tear 1-3cm
grade III - subcapsular >50%, tear > 3cm (mortalty 25%)
grade IV - lobular tissue destruction >50% of hepatic lobe, rupture subcapsular haematoma
grade V - lobar destruction >50% in both lobe and injury to vessels,
grade VI - hepatic avulsion
PS: operation for grade III and above
Relation between Chance fracture and small bowel injury?
90% incidence of small bowel injury and 55% incidence of small bowel perforation.
investigation for small bowel injury?
CXR - 25% sen
CT - 40%
DPL - >95% sensitivity and specificity