Podcast
Questions and Answers
What is a critical indication for laparotomy in a stable patient?
What is a critical indication for laparotomy in a stable patient?
- Tenderness to percussion on examination
- History of evisceration (correct)
- Absence of bowel sounds
- Presence of free fluid in the abdomen
What is the primary goal of Selective Non-Operative Management (SNOM) in patients with abdominal trauma?
What is the primary goal of Selective Non-Operative Management (SNOM) in patients with abdominal trauma?
- To promote early oral feeding
- To achieve immediate surgical intervention
- To provide pain management with antibiotics
- To monitor the patient for clinical deterioration (correct)
What is the significance of blood per rectum or per os in a patient with abdominal trauma?
What is the significance of blood per rectum or per os in a patient with abdominal trauma?
- It indicates a high risk of bleeding from the spleen
- It is a normal finding in abdominal trauma
- It requires immediate surgical intervention
- It suggests a possible bowel injury (correct)
What is the typical frequency of clinical evaluation and observation in a patient undergoing SNOM?
What is the typical frequency of clinical evaluation and observation in a patient undergoing SNOM?
What is the criteria for discharging a patient home after SNOM?
What is the criteria for discharging a patient home after SNOM?
What is the approximate miss rate of SNOM in patients with abdominal trauma?
What is the approximate miss rate of SNOM in patients with abdominal trauma?
What is the primary focus of selective non-operative management for blunt trauma?
What is the primary focus of selective non-operative management for blunt trauma?
What should be done if the patient remains stable after resuscitation and evaluation, and does not have an acute abdomen?
What should be done if the patient remains stable after resuscitation and evaluation, and does not have an acute abdomen?
What is the purpose of a lateral shoot through x-ray in a supine patient?
What is the purpose of a lateral shoot through x-ray in a supine patient?
What is the typical duration of hospital stay for patients with contused small bowel?
What is the typical duration of hospital stay for patients with contused small bowel?
What type of injury is typically shown on a contrast CT scan?
What type of injury is typically shown on a contrast CT scan?
What is the primary goal of treatment in a patient with a positive FAST result?
What is the primary goal of treatment in a patient with a positive FAST result?
What is the primary concern when lifting an eviscerated bowel?
What is the primary concern when lifting an eviscerated bowel?
What is the recommended pre-hospital management for evisceration?
What is the recommended pre-hospital management for evisceration?
What is the most common site of injury in direct blunt abdominal trauma?
What is the most common site of injury in direct blunt abdominal trauma?
What is the primary goal of initial management in evisceration?
What is the primary goal of initial management in evisceration?
What is the typical indication for laparotomy in patients with evisceration?
What is the typical indication for laparotomy in patients with evisceration?
What type of trauma is more likely to injure the solid organs such as the liver and spleen?
What type of trauma is more likely to injure the solid organs such as the liver and spleen?
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