Chapter 50 - Abdominal Trauma

6 Written Questions

1. Liver, pancreas, kidney, spleen
2. Ecchymosis of the flanks, which is associated with bleeding into the abdominal cavity and pancreatitis.
3. Appendix, gallbladder, sigmond colon, stomach
4. These patients frequently will have diminished bowel activity and an increased risk of vomiting. Placing anything in the GI tract increases the risk of vomiting and aspiration. In addition, these patients frequently must go to the operating room, giving them anything by mouth increases the risk of aspiration during induction of anesthesia.
5. Rapid, shallow breathing; rapid pulse rate; left upper quadrant pain radiating to the left shoulder
6. Appendix

6 Multiple Choice Questions

1. Abdominal pain radiating to the left shoulder.
   1. What is a diaphragmatic hernia?
   2. What is Cullen's sign?
   3. What is Kehr's sign?
   4. What is Grey Turner's sign?
2. The spleen.
   1. What is the usual effect of trauma to an abdominal solid organ?
   2. Kehr's sign suggests injury to which abdominal organ?
   3. What is the usual effect of trauma to an abdominal hollow organ?
   4. What are the solid organs of the Abdomen?
3. Gallbladder, liver, kidney, pancreas
   1. What organs are in the left lower quadrant of the abdomen?
   2. What organs are in the right upper quadrant of the abdomen?
   3. What organs are in the right lower quadrant of the abdomen?
   4. What organs are in the left upper quadrant of the abdomen?
4. A portion of an abdominal organ that has passed through a tear in the diaphram into the thoracic cavity.
   1. What is Cullen's sign?
   2. What is Grey Turner's sign?
   3. What is Kehr's sign?
   4. What is a diaphragmatic hernia?
5. It leads to hemorrhage, resulting in hypovolemic shock.
   1. What is the usual effect of trauma to an abdominal hollow organ?
   2. What are the solid organs of the Abdomen?
   3. What is the usual effect of trauma to an abdominal solid organ?
   4. Kehr's sign suggests injury to which abdominal organ?
6. It leads to spillage of the contents of these organs into the abdominal cavity, resulting in peritonitis.
   1. What is the usual effect of trauma to an abdominal hollow organ?
   2. What are the solid organs of the Abdomen?
   3. What is the usual effect of trauma to an abdominal solid organ?
   4. Kehr's sign suggests injury to which abdominal organ?

6 True/False Questions

1. What organs are in the left upper quadrant of the abdomen? → pancreas, spleen, stomach, kidney

   True        False

2. What organs are in the left lower quadrant of the abdomen? → pancreas, spleen, stomach, kidney

   True        False

3. A patient with a stab wound in the anterior abdomen 3-4 inches inferior to the umbilicus probably would have an injury of the: → small intestine, urinary bladder

   True        False

4. A male patient slipped and "straddled" the top of a fence over which he was attempting to climb. He has a swollen, blue-red scrotum and bruising that extends to the medial aspects of both thighs. You should suspect injury to what structure? → Rapid, shallow breathing; rapid pulse rate; left upper quadrant pain radiating to the left shoulder

   True        False

5. A patient has penetrating trauma to the right lateral chest below the nipple line. What injuries would you suspect? → Appendix

   True        False

6. What is Cullen's sign? → Ecchymosis around the umbilicus, which is associated with bleeding into the abdominal cavity, pancreatitis, and ectopic pregnancy.

   True        False