Trauma: Rib and Clavicle Injury Assessment

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Questions and Answers

A patient presents with major trauma. Injury to which structures should raise suspicion for significant vascular injury?

  • The 5th to 7th ribs
  • The clavicle and the 1st ribs (correct)
  • The lower ribs and the 12th thoracic vertebra
  • The pelvis and the femur

Following a trauma, a patient is suspected of having hepatic, splenic, or renal injuries. While rib projections might be requested, what imaging modalities are often considered more useful for assessing these types of injuries?

  • Thermography and PET scan
  • X-ray and fluoroscopy
  • Ultrasound and CT (correct)
  • MRI and bone scintigraphy

After a motorcycle accident, a patient shows signs of lower rib cage trauma. Which potential internal injuries should be of greatest concern, warranting further investigation?

  • Esophageal rupture and mediastinitis
  • Cardiac tamponade and aortic dissection
  • Hepatic, splenic, or renal injury (correct)
  • Pulmonary contusion and pneumothorax

In trauma imaging protocols, why is it critical to thoroughly examine the clavicle and first ribs on frontal projections?

<p>To identify potential significant vascular injuries. (D)</p> Signup and view all the answers

A patient involved in a high-speed collision presents with multiple fractures including the lower ribs. What is the most appropriate next step in assessing potential internal damage?

<p>Order an ultrasound or CT scan to evaluate possible hepatic, splenic, or renal injury. (A)</p> Signup and view all the answers

Flashcards

Clavicle/1st Rib Injury

Fractures here suggest possible major vascular damage.

Lower Rib Injury

Fractures here may be linked to liver, spleen, or kidney damage.

Ultrasound in Trauma

Imaging used for quick assessment of internal organ damage in trauma.

CT Scan in Trauma

Imaging offering detailed views of organs after major trauma.

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Frontal Projection (X-ray)

An X-ray view from the front in trauma assessment.

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Study Notes

  • Clavicle and first rib injuries in major trauma cases can be indicators of significant vascular injury.
  • Frontal projections must clearly examine these areas.
  • Lower rib injuries can be associated with hepatic, splenic, or renal injury.
  • Rib projections might be requested for lower rib injuries.
  • Ultrasound or CT scans are potentially more useful for assessing internal organ damage.

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