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Questions and Answers
Which of the following statements regarding rebound tenderness is correct?
Which of the following statements regarding rebound tenderness is correct?
- It is only relevant in cases of blunt trauma.
- It is discovered when the patient is jarred or moved suddenly. (correct)
- It indicates the presence of a fracture.
- It is always a sign of internal bleeding.
All of the following are hollow abdominal organs except the:
All of the following are hollow abdominal organs except the:
- Colon
- Stomach
- Spleen (correct)
- Bladder
The presence of tachycardia following a significant abdominal injury should be assumed to be a sign of shock.
The presence of tachycardia following a significant abdominal injury should be assumed to be a sign of shock.
True (A)
Bruising to the right upper quadrant of the abdomen following blunt trauma is MOST suggestive of injury to the:
Bruising to the right upper quadrant of the abdomen following blunt trauma is MOST suggestive of injury to the:
When does peritonitis usually occur?
When does peritonitis usually occur?
What does bruising around the umbilicus indicate?
What does bruising around the umbilicus indicate?
Early bruising following abdominal trauma often manifests as:
Early bruising following abdominal trauma often manifests as:
Compression injuries to the abdomen that occur during a motor vehicle crash are typically the result of:
Compression injuries to the abdomen that occur during a motor vehicle crash are typically the result of:
Difficulty breathing and a sunken appearance of the anterior abdominal wall is MOST indicative of a ruptured:
Difficulty breathing and a sunken appearance of the anterior abdominal wall is MOST indicative of a ruptured:
A sign of kidney damage following blunt trauma is:
A sign of kidney damage following blunt trauma is:
What is the mesentery?
What is the mesentery?
The absence of abdominal pain rules out intra-abdominal bleeding.
The absence of abdominal pain rules out intra-abdominal bleeding.
Placing a pregnant patient in a supine position during the third trimester of pregnancy may decrease the amount of blood that returns to the heart.
Placing a pregnant patient in a supine position during the third trimester of pregnancy may decrease the amount of blood that returns to the heart.
Contraction or tensing of the abdominal muscles in an effort to ease pain is called:
Contraction or tensing of the abdominal muscles in an effort to ease pain is called:
Because the depth of an open abdominal wound is often difficult to determine, prompt transport to the hospital is essential.
Because the depth of an open abdominal wound is often difficult to determine, prompt transport to the hospital is essential.
Which of the following organs are most likely to bleed profusely when injured?
Which of the following organs are most likely to bleed profusely when injured?
Accumulation of blood in the abdominal cavity will MOST likely cause:
Accumulation of blood in the abdominal cavity will MOST likely cause:
Which of the following organs is most at risk for injury as a result of pelvic fracture?
Which of the following organs is most at risk for injury as a result of pelvic fracture?
When a hollow organ is punctured during a penetrating injury to the abdomen, peritonitis might not develop for several hours.
When a hollow organ is punctured during a penetrating injury to the abdomen, peritonitis might not develop for several hours.
What should be documented in the call involving a female patient who was sexually assaulted?
What should be documented in the call involving a female patient who was sexually assaulted?
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Study Notes
Rebound Tenderness
- Discovered when a patient is jarred or moved suddenly; indicates possible abdominal issues.
Hollow Abdominal Organs
- The spleen is a solid organ, unlike all following hollow abdominal organs.
Tachycardia Post-Abdominal Injury
- Presence of tachycardia after significant abdominal injury suggests potential shock.
Bruising Indicators
- Bruising in the right upper quadrant points to possible liver injury.
Peritonitis Causes
- Occurs when hollow abdominal organs are compromised, allowing contents to spill into the peritoneal cavity.
Bruising Signs
- Bruising around the umbilicus indicates intra-abdominal bleeding.
Early Bruising Appearance
- Initially manifests as red areas of skin after abdominal trauma.
Compression Injuries
- Often the result of poorly placed lap belts during motor vehicle crashes.
Breathing Difficulties
- A sunken anterior abdominal wall coupled with difficulty breathing suggests a ruptured diaphragm.
Kidney Damage Indicators
- Hematuria (presence of blood in urine) is a sign of kidney trauma after blunt injury.
Mesentery Description
- A membranous fold that supports the intestines by attaching them to the body wall.
Abdominal Trauma Awareness
- Absence of abdominal pain does not exclude the possibility of intra-abdominal bleeding.
Supine Position Risks in Pregnant Patients
- Placing a pregnant patient supine in the third trimester may reduce blood return to the heart.
Guarding Definition
- Guarding refers to tensing of abdominal muscles to relieve pain.
Open Abdominal Wound Management
- Depth of open abdominal wounds can be uncertain, necessitating prompt hospital transport.
Organs Prone to Profuse Bleeding
- The liver is highly susceptible to significant bleeding when injured.
Blood Accumulation Effects
- Accumulated blood in the abdominal cavity typically leads to distention.
Pelvic Fracture Victims
- The urinary bladder is particularly vulnerable to injury from pelvic fractures.
Delayed Peritonitis
- Peritonitis from a punctured hollow organ may not appear for several hours following a penetrating injury.
Documentation in Assault Cases
- EMTs should focus on factual data and avoid speculation when documenting cases involving female patients who have been assaulted.
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