Abdominal Trauma — Flashcards

Flashcard 1: If there is a _____ injury in any of the retroperitoneal zones, surgical management is done.

Answer: penetrative

Flashcard 2: _____ is the most common organ to be injured in gunshot injury of the abdomen

Answer: Small intestine

Flashcard 3: Phase II of damage control sx consists of secondary resuscitation to correct _____, coagulopathy, and acidosis

Answer: hypothermia

Flashcard 4: Components of TRISS (Trauma and Injury Severity Score) (Mnemonic: RIMA):

Answer: 1. RTS (Revised Trauma Score) 2. ISS (Injury Severity Score) 3. Mechanism of injury (Blunt or Penetrating) 4. Age

Flashcard 5: In FAST, Longitudinal view of the left upper quadrant: assess for _____ injuries and left kidney injury

Answer: splenic

Flashcard 6: What is the investigation of choice for suspected diaphragmatic injury?_____

Answer: Laparoscopy

Flashcard 7: In FAST, Subxiphoid transverse view: assess for pericardial effusion and _____ injuries

Answer: left lobe liver

Flashcard 8: Parkland’s formula for fluid resuscitation in burns: _____

Answer: 4 mL × weight (kg) × % TBSA

Extra: The calculated volume (typically Ringer's Lactate) is administered as follows: - First half: Given over the first 8 hours from the time of injury. - Second half: Given over the next 16 hours.

Flashcard 9: AAST Kidney Injury Scale: A laceration extending into the renal collecting system is classified as Grade _____.

Answer: IV

Extra: AAST Kidney Injury Scale: Grade I: Contusion or non-expanding subcapsular hematoma. Grade II: Non-expanding perirenal hematoma or laceration <1 cm deep (no extravasation). Grade III: Laceration >1 cm deep (no extravasation). Grade IV: Laceration extending through cortex, medulla, and collecting system; OR segmental vascular injury. Grade V: Shattered kidney OR hilar vascular avulsion/devascularization.

Flashcard 10: _____ is the next best step to manage a case of intraperitoneal bladder rupture

Answer: Laparotomy