Term
| Trauma/Neuro: Spinal shock |
|
Definition
Decr BP w/ decr. HR
Warm pink skin
Adeq. urine output
Decr sympathetic tone |
|
|
Term
|
Definition
| Distance b/w greater trochanter to pubic spine is less on one side than the other indicating overlapping/overriding anterior pelvic ring fx |
|
|
Term
| Trauma: MC complaint in post-concussion syndrome |
|
Definition
HA w/irritability
Insomnia
Dizziness
Anxiety, depression
Fatigue
Visual complaints
Memory loss |
|
|
Term
| Trauma: Concussion grading |
|
Definition
Grade 1 ("Ding" Concussion): Confusion + Sx resolve < 15 min + No LOC
Grade 2: same as #1, but symptoms persist > 15 min
Grade 3: same as #2, but any LOC |
|
|
Term
| Trauma: MC injured abd org in penetrating trauma |
|
Definition
#1 : Liver
#2: Small bowel |
|
|
Term
| Trauma: MC complication of pulmonary contussion |
|
Definition
|
|
Term
| Trauma: Sucking chest wound size |
|
Definition
|
|
Term
Trauma: BP estimates
a. Palpable peripheral pulse
b. Palpable central pulse |
|
Definition
|
|
Term
| Trauma: Gold standard for rapid, objective eval of intraperitoneal injury |
|
Definition
|
|
Term
| Trauma/Peds: MC frequently injured organs |
|
Definition
| Spleen>GU>GI>liver>pancreas>pelvis>major vessels |
|
|
Term
| Trauma: MCC of bleeding closed head injury |
|
Definition
|
|
Term
| Trauma/Eye: orbital floor fx clinical findings |
|
Definition
Pain, diplopia, upward gaze, enophthalmos, hypersthesia (infraorital nerve), SQ emphy.
X-Rays: air fluid level maxillary sinus, orbital emphysema, teat drop sign (prolapse of orbital tissue) |
|
|
Term
| Trauma/Head: long term complication of skill fx in babies |
|
Definition
|
|
Term
|
Definition
| With pericardial tamponade: ↓tension, JVD, distant heart tones. These leading to: narrow pulse pressure, tachypnea, tachycardia, EKG electrical alternans |
|
|
Term
| Trauma: Sever renal trauma without hematuria |
|
Definition
| 20%. If suspected perform, IVP, cystogram, CT |
|
|
Term
| Trauma: Interpretive guidelines of DPL? |
|
Definition
| In not frankly (+): > 100,000 RBC/mm3 for blunt trauma or anterior abd stab wound; >5,000 RBC/mm3 for SW to lower chest & GSW of abd |
|
|
Term
| Trauma/Head: predental space? prevertebral space? |
|
Definition
| Predental: Adults <3mm, Ped <5mm / Prevertebral: C2=6mm, C3=5mm, C6=22mm |
|
|
Term
| Trauma: MC affected compartments in compartment syndrome |
|
Definition
| •Anterior leg 2ry to tibial fx |
|
|
Term
| Trauma: Si/Sx of compartment syndrome |
|
Definition
| •5 P's: pain (earliest Sx), pallor, pulselessness, paresthesia, paralysis |
|
|
Term
| Trauma: Tx compartment syndrome |
|
Definition
| ❑Tx: fasciotomy •Injury >39 mmHg •Surgery >40.5 mmHg •Irreversible damage 4-6 hrs |
|
|
Term
|
Definition
| If no assoc injury: Decongestant, analgesia, prophylactic abx, no valsalva, ophtha f-up. |
|
|
Term
| Trauma: MC C-spine fracutes: adults/peds |
|
Definition
| Adults: C5-6 / Peds: C1-2 |
|
|
Term
| Trauma: C-spine fracutes: stable vs. unstable |
|
Definition
|
|
Term
| Trauma: Earliest sing of shock? Why? |
|
Definition
| Tachycardia. CO=SVxHR :. ↑HR to compensate for ↓SV |
|
|
Term
| Trauma: Leading cause of death in trauma |
|
Definition
|
|
Term
| Trauma: exam finding of C-Spine injury |
|
Definition
| Flaccid, areflexia, loss rectal sphincter, diaphragmatic abd breath, priapism, ↓BP, ↓HR |
|
|
Term
| Trauma/Head: PaCO2 in head trauma |
|
Definition
|
|
Term
| Trauma/Eye: Tonometry contraindicated |
|
Definition
| Globe rupture (schiots), corneal laceration |
|
|
Term
| Trauma: Tx mandibular dislocation |
|
Definition
| Pre-Post X-Rays, ↓pressure to post teeth, chin pressed post, soft diet, NSAIDS |
|
|
Term
| Trauma: Cushing's Sx to brain injury |
|
Definition
|
|
Term
| Trauma: Epidural hematoma |
|
Definition
| Direct blow ->LOC -> lucid period -> coma ->fixed dilated pupil ipsilateral to trauma & contralateral paralysis •Mid-meningeal artery •Mortality 0-20% |
|
|
Term
| Trauma: Epidural hematoma CT view |
|
Definition
|
|
Term
| Trauma/ENT: Si/Sx Medial orbital wall fx |
|
Definition
| Epistaxis, emphysema of lids, conjunctivitis, ↓lateral gaze (entraped med rectus mm) |
|
|
Term
| Trauma/ENT: X-Ray Medial orbital wall fx |
|
Definition
| Clouding of ethmoid sinus, orbital emphysema |
|
|
Term
| Trauma: leading cause of death up to 44 y/o |
|
Definition
| Trauma: immediate, golden hour, delayed |
|
|
Term
| Trauma: MCC sudden death from MVC or fall |
|
Definition
|
|
Term
| Trauma: CXR finding of traumatic aortic rupture |
|
Definition
| *MC: Widened superior mediastinum >8cm •Left apical cap •Indistinct aortic knob •Deviated trachea/esophagous to right •Depression of left mainstem bronchus >40° angle below horizon •Obliteration of space b/w Pulm artery & aorta •Widening of paraspinous stripe •Left hemothorax Fx 1st/2nd rim (controversial) |
|
|
Term
| Trauma: Smith & Colles fx damage ___ nerve? |
|
Definition
|
|
Term
| Trauma/ENT: Mandibular dysf fx |
|
Definition
| Limited opening, deviation on opening, mal-occlusion, pain, trismus |
|
|
Term
|
Definition
|
|
Term
|
Definition
Palate-facial disjunction. Horizontal fx of maxilla at the level of the nasal floor
[image] |
|
|
Term
|
Definition
Le Fort II fx (pyramidal) may result fr a blow to the lower or mid maxilla. •Pyramidal shape & extends fr the nasal bridge at or below the nasofrontal suture through the frontal processes of the maxilla, inferolaterally through the lacrimal bones & inf. orbital floor & rim through or near the inf. orbital foramen, & inf. through the ant. wall of the max. sinus; it then travels under the zygoma, across the pterygomaxillary fissure, and through the pterygoid plate
[image] |
|
|
Term
|
Definition
Cranio-facial disjunction - fx through the zygomatico-frontal suture or zygomat & the frontal bone above the nose
[image] |
|
|
Term
|
Definition
Enamel + dentin exposed / Hot-cold sensitivity
[image] |
|
|
Term
|
Definition
Enamel + dentin + pulp exposed *True emergency: bleeding & pain
[image] |
|
|
