Trauma/Emergencies — Flashcards

Flashcard 221: What are the "soft signs" of traumatic arterial injury? (5) _____

Answer: Diminished distal pulses Unexplained hypotension Stable hematoma Hemorrhage (at time of injury) FND

Flashcard 222: Rubber band ligation is only used for _____ hemorrhoids

Answer: internal

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Flashcard 223: Trauma, pelvic fracture and insertion of a Foley catheter shows gross hematuria. Diagnosis? _____ Imaging? _____

Answer: Bladder injury

Extra:  https://onlinemeded.org/spa/pediatrics/urology/acquire?ref=anki 

Flashcard 224: Carotid endarterectomy (CEA) should be considered for symptomatic patients (e.g. TIA, stroke) with carotid stenosis between _____ - _____% to reduce future stroke risk

Answer: 70

Extra: A carotid endarterectomy is a surgical procedure to open or clean the carotid artery with the goal of future stroke prevention. Patients with disabling neurologic deficits, 100% occlusion of the carotid artery, or life expectancy < 5 years are unlikely to benefit from the procedure.

Flashcard 225: Epicondylitis treatment begins with _____

Answer: conservative

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Flashcard 226: What is a neurological consequence of testicular torsion? _____

Answer: Absent cremaster reflex

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Flashcard 227: _____, laser surgery, or electrocoagulation are all treatment options for condylomata acuminata

Answer: Curettage

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Flashcard 228: Treatment of a small perforation of esophagus (Boerhaave) is _____

Answer: conservative therapy (antibiotics, NPO)

Extra: Conservative management (NPO, IV antibiotics, IV PPIs) is indicated for small, contained perforations in stable patients. Surgical repair is indicated for large perforations, hemodynamic instability, or significant contamination.

Flashcard 229: Circumferential, full-thickness burns can result in eschar formation that restricts venous/lymphatic drainage, leading to _____ syndrome

Answer: acute compartment

Extra:  https://onlinemeded.org/spa/surgery-trauma/burns/acquire?ref=anki 

Flashcard 230: Evaluation of kidney injury in blunt genitourinary trauma should include urinalysis and _____ in hemodynamically stable patients with evidence of microscopic hematuria and other signs of abdominal trauma (e.g. tenderness)

Answer: contrast-enhanced CT of abdomen/pelvis

Extra:  https://onlinemeded.org/spa/pediatrics/urology/acquire?ref=anki  - e.g. trauma + tenderness at the flank - CT to identify renal trauma +/- retrograde cystourethrogram if patients have gross hematuria, difficulty urinating, blood at the meatus, or suprapubic pain which implies urethral injury