Trauma/Emergencies — Flashcards

Flashcard 191: Treatment for aortic regurgitation is _____ before LV dysfunction occurs

Answer: aortic valve replacement

Extra: In aortic regurgitation (AR), aortic valve replacement (AVR) is indicated for: 1. Symptomatic patients with severe AR. 2. Asymptomatic patients with severe AR and LV dysfunction (LVEF < 50-55%). 3. Asymptomatic patients with severe AR and severe LV dilatation (e.g., LVESD > 50 mm).

Flashcard 192: History of trauma, left lower lung opacity, elevated hemidiaphragm and mediastinal deviation = _____

Answer: diaphragmatic rupture

Flashcard 193: Osteoarthritis is common in patients with prior joint injury, especially _____ injury

Answer: ACL

Flashcard 194: What is MCC of esophageal perforation? _____

Answer: Iatrogenic

Flashcard 195: How are uncomplicated fractures of the middle third of the clavicle treated? (3) _____

Answer: Rest & ice Sling Figure of eight bandage

Flashcard 196: Hemorrhagic shock refractory to IVF is managed with _____

Answer: transfusion

Flashcard 197: Melanoma treatment is _____

Answer: excision with wide margins

Flashcard 198: Is urinalysis indicated for a patient with trauma and gross hematuria? _____

Answer: No

Extra: Indications for CT imaging in suspected renal trauma: - Gross hematuria - Microscopic hematuria AND shock (SBP < 90 mmHg) - Significant deceleration injury mechanism (e.g., fall from height, high-speed MVC)

Flashcard 199: What is the treatment of a pigmented skin lesion that itches, bleeds, or is associated with local sensory symptoms? _____

Answer: Excisional biopsy

Flashcard 200: _____ embolism after lung trauma, ventilator use, removal of central line, or heart vessel surgery

Answer: Air