July 8, 2009 | In: TRAUMA
36 PEDIATRIC TRAUMA David A. Partrick M.D., Denis D. Bensard M.D. 1. What is the leading cause of death in children in the United States? Show answer Injuries cause more death and disability in children from ages 1 to 18 years than all...
35 BURNS Paulus C. Bauling MBChB, M.Med., FACS 1. Why is it essential to have sound clinical knowledge of urgent and emergent burn care? Show answer The events of September 11, 2001, have vividly underlined the fact that wars, plane...
July 8, 2009 | In: TRAUMA
34 BASIC CARE OF HAND INJURIES Michael J.V. Gordon M.D., Lawrence L. Ketch M.D. 1. What are the goals of hand repair? Show answer Functional considerations override cosmesis in the treatment of hand trauma. There are no minor hand injuries....
July 8, 2009 | In: TRAUMA
CONTROVERSIES 14. What controversies exist regarding the care and repair of facial lacerations? Show answer There is little controversy about the care and repair of facial lacerations. Attention to basic principles of wound care usually...
July 8, 2009 | In: TRAUMA
33 FACIAL LACERATIONS Lawrence L. Ketch M.D. 1. What distinguishes facial from other lacerations? Show answer Appearance is clearly of primary importance. Quality of the final result depends on strict adherence to basic principles of wound...
July 8, 2009 | In: TRAUMA
32 EXTREMITY VASCULAR INJURIES Kyle H. Mueller M.D., William H. Pearce M.D. 1. What are the "hard signs" of arterial injury? Show answer * Distal circulatory deficit: ischemia or diminished or absent pulses * Bruit *...
July 8, 2009 | In: TRAUMA
31 LOWER URINARY TRACT INJURY AND PELVIC TRAUMA Fernando J. Kim M.D., Siam Oottamasathien M.D. 1. What are the causes of bladder injury? Show answer Iatrogenic manipulation and penetrating or blunt trauma. Because of the rich detrusor blood...
July 8, 2009 | In: TRAUMA
30 UPPER URINARY TRACT INJURIES Fernando J. Kim M.D., Siam Oottamasathien M.D. 1. What is the most common type of renal trauma in the United States, blunt or penetrating? Show answer Blunt, by far. 2. Do most kidney injuries require...
July 8, 2009 | In: TRAUMA
29 PELVIC FRACTURES Steven J. Morgan M.D., Wade R. Smith M.D. 1. What are the first steps in the evaluation and treatment of a patient with pelvic trauma? Show answer The ABCs (airway, breathing, and circulatory assessment). The answer to...
July 7, 2009 | In: TRAUMA
RECTAL TRAUMA 9. How do rectal injuries occur? Show answer Similar to colon injuries, most rectal injuries result from penetrating trauma. Blunt pelvic fractures should be assessed with a strong suspicion for rectal (and urethral)...
July 7, 2009 | In: TRAUMA
28 TRAUMA TO THE COLON AND RECTUM W. Andrew Lawrence M.D., Jon M. Burch M.D. COLON TRAUMA 1. How do most colon injuries occur? Show answer Nearly all (> 95%) colon injuries are caused by penetrating trauma from gunshot, stab, iatrogenic,...
July 7, 2009 | In: TRAUMA
27 PANCREATIC AND DUODENAL INJURY Caesar M. Ursic M.D. 1. How common are pancreatic injuries? Show answer The pancreas is not commonly injured because of its protected retroperitoneal position, and thus accounts for only 8% of all...
July 7, 2009 | In: TRAUMA
26 SPLENIC TRAUMA David J. Ciesla M.D., Ernest E. Moore M.D. 1. What is the physiologic role of the spleen? Show answer In fetal development, the spleen serves as a major site for hematopoiesis. In early childhood the spleen produces...
July 7, 2009 | In: TRAUMA
BILIARY TRACT INJURY 22. Why are complications associated with bile duct leaks? Show answer Bilomas (i.e., collections of bile) frequently become infected and may result in lethal peritonitis. Biliopleural fistula, a communication between the...
July 7, 2009 | In: TRAUMA
OPERATIVE MANAGEMENT OF LIVER INJURY 11. How are acute liver injuries classified? Show answer Liver wounds are generally graded on a scale of I to VI according the depth of parenchymal laceration and involvement of the hepatic veins or...
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