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19 Cards in this Set
- Front
- Back
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Cardiac box borders?
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Clavicles, nipples, xiphoid
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Most common arrhythmia (1) and cause of death (2) in myocardial contusion
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1. SVT
2. V tach, V fib (within in the first 24hrs), should be monitored |
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Next step after bloody perdicardial tap in trauma...
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1. Pericardial window
2. Sternotomy to fix injury to the heart, place pericardial drain |
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Where is the ligamentum arteriosum?
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Just distal to the subclavian takeoff
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Operative approach for injury to the ___
1. Distal right subclavian 2. Innominate artery 3. Ascending aorta |
1. Clavicular incision
2. Median sternotomy 3. Median sternotomy |
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Operative approach for injury to the ___
4. Prox right subclavian 5. Descending aorta 6. Left subclavian |
4. Median sternotomy
5. Left thoracotomy 6. Left thoracotomy |
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Who gets a cardiac contusion?
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blunt trauma, sternal fractures
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Anterior pelvic fractures have more ___ bleeding while posterior pelvic fractures have more ___ bleeding.
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Anterior -- venous
Posterior --arterial |
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You perform a Kocher maneuver at laparotomy and open the lesser sac. What findings would mandate inspection of the entire duodenum?
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hematoma
bile petechiae sucus fat necrosis |
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When do you resect instead of repair a small bowel laceration?
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>50% of circumference or if your repair results in a lumen diameter 1/3 of normal, or if many lacerations close together
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What nerve or artery could be damaged?
1. anterior shoulder dislocation 2. posterior shoulder dislocation |
1. axillary nerve
2. axillary artery |
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What nerve or artery could be damaged?
1. proximal humerus? 2. midshaft humerus 3. distal (supracondylar) humerus |
1. axillary nerve
2. radial nerve 3. brachial artery (can result in Volkman's contracture) |
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What nerve or artery could be damaged?
1. Anterior hip dislocation 2. Posterior hip dislocation |
1. Femoral artery
2. Sciatic nerve |
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What nerve or artery could be damaged?
1. Distal femur? 2. Fibular neck 3. Posterior knee dislocation |
1. Popliteal artery
2. Common peroneal nerve 3. Popliteal artery |
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Compartment syndrome: list the Ps in order
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Pain
Paresthesia Anesthesia Paralysis Poikilothermia Pulselessness (late finding) |
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Compartment pressures in compartment syndrome
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>20mm Hg or based on clinical exam
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Hard signs of vascular injury (go to OR)
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audible bleeding, bruit, thrill, distal ischemia, pulsatile hematoma
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Moderate/soft signs of vascular injury (go to angio)
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hx of bleeding, deficit of anatomically related nerve, large hematoma, ABI <0.9
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Describe your surgical approach for 4 compartment trauma fasciotomy
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Incisions are made on medial (anterior, lateral compartments) and lateral (posterior superficial & deep) aspects of the calf on both legs.
http://www.operationgivingback.facs.org/stuff/contentmgr/files/a384bb3c7b77e154ad25c6136d7be344/miscdocs/lab_manual_extremity_chapter_4__2_.pdf |
