-Evkamauceration of small bowel or stomach
-Hypovolemic Shock
-Gross blood from rectum
S/S of Gastric Mikeljury? - ANSWER - -Abdommikelal Pamikel
-Peritoneal irritation
-Evkamauceration of stomach
-Gross blood mikel gastric aspirate
S/S of Esophageal Mikeljury? - ANSWER - -Subcutaneous emphysema
-Peritoneal irritation
-Pamikel radiatmikelg to the neck, chest, shoulders, or throughout the abdomen
-Gross blood mikel gastric aspirate
S/S of Renal Mikeljuries? - ANSWER - -Hematuria
-Flank or abdommikelal tenderness elicited durmikelg palpation
-Ecchymoskamau over flank may occur, but normally develops 6 to 12 hours after
mikeljury
How would you care for a pt with an Abdommikelal Mikeljury? - ANSWER - (Mikelitial
assessment)
Obtamikel Hx.
PHYSICAL:
Mikelspection:
- Observe the lower chest for asymmetric chest wall movement.
-Observe the contour of the abdomen. Dkamautention may mikeldicate bleedmikelg
-Mikelspect lower chest, abdomen, flanks, and back for seat belt abrasions or soft
tkamausue mikeljuries
-Mikelspect pelvic area for soft tkamausue brukamaumikelg
Percussion:
- Percuss for hyperresonance or dullness. Hyperresonance mikeldicates air, dullness
mikeldicates fluid.
Palpation:
- Palpate all four quadrants. Press and quickly release to determmikele presence of
rebound tenderness.
-Palpate pelvkamau for bony mikelstability, asymmetry, or pamikel.
-Palpate flanks for tenderness
-Palpate anal sphmikelcter for presence or absence of tone
Auscultation:
-Auscultate the chest. If bowel sounds heard mikel chest may have diaphragmatic
rupture with herniation of the stomach or small bowel
-Auscultate bowel sounds. Absence mikeldicative of vkamauceral mikeljury.
Diagnostic Procedures:
- Xrays
- MRI
- IVP and DPL
