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15 Cards in this Set
- Front
- Back
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What are the boundaries of the abdomen |
Trans nipple line superiorly Inguinal region inferiorly |
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What is the posterior abdomen bounded by |
Scapular tips superiorly Iliac crest inferiorly |
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What are the flanks bounded by |
Anterior and posterior axillary lines |
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What does the upper abdomen contain |
1. Diaphragm 2. Liver 3. Spleen, 4. Stomach 5. Transverse colon |
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What does the lower abdomen contain |
1. Small bowel 2. Bladder 3. Colon
(hollow organs) |
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What is in the retroperitoneal space |
SAD PUCKER Aorta/Inferior vena cava Duodenum Ureter Colon (ascending/descending)
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Which organs does blunt trauma cause injury too |
Solid organs (spleen 50%, live 45%, retroperitoneal hematoma 15%)
(hollow organs can rupture but less common) |
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Which organs does a penetrating trauma injure (Specifically stab wounds gun shot wounds) |
Hollow organs
Stab wounds = liver 40%
Gun shot wounds = small bowel 50% |
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What does it mean if kids have abdominal wall bruising |
Big indicating that something is going wrong in the abdomen |
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What would you use if a kid has abdominal bruising |
FAST (focused abdominal sonographic test = u/s)
Can identify isolated abdominal injuries (1/3rd of solid organ injuries in kids) |
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What is the assessment for abdominal trauma |
1. Inspect 2. Auscultate (peritonitis causes ilieus) 3. Palpate (guarding = peritoneal irritation)
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Does absence of guarding rule out blood in the abdomen |
No |
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What are the 2 investigation tools used to look at the abdomen |
1. U/S (FAST) shows free fluid (95% sensitive) 2. CT (98%) sensitive and shows free fluid and free air (rupture hollow organ & retroperitoneal injury) |
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What are the down sides to using a CT scan |
1. Miss diaphragmatic, hollow viscus, and pancreatic injuries
2. Unattended time spent in scanner and radiation |
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What are the conditions in which surgery is an intervention |
1. Any hemodynamically unstable patient 2. High risk MOI 3. Penetrating Injury 4. Abnormal exam finding 5. Free fluid via U/S or CT
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