TRAUMA-ABDOMINAL

Question 1

Ex lap for penetrating abdominal trauma is next step if any of the following are present

Answer 1

Hemodynamic instability
Peritonitis
Evisceration

No additional dx imaging modalities necessary if any of these things are present.

Question 2

Evidence of free fluid in the pelvis without any solid organ injury may indicate ..

Answer 2

Bowel perforation and leakage of intestinal contents.

Question 3

Blood at urethral meatus and pelvic fracture - what’s the next step?

Answer 3

Retrograde urethrogram.

Question 4

Right renal vein injury with instability

Answer 4

Radical nephrectomy is indicated. No collaterals for drainage as there are with the left with adrenal and gonadal vv.

Question 5

During celiotomy for trauma, what are indications for c-section

Answer 5

Maternal shock
Pregnancy near term
Threat to life from exsanguination
Risk of fetal distress exceeding risk for prematurity
Unstable thoracolumbar spinal injury