Created at 1:11 p.m. Aug, 24, 2024
Author: spammerguy
Related Note: 1536707052087 1
Rationale for change

Point 5 makes no sense without better context. It's hard to imagine a stable patient with blunt abdominal trauma being sent to the OR just because FAST is not available. Is point 5 specifically refering to unstable patients? This card needs more context.

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* If unstable with negative/inconclusive FAST exam, can also consider DPL in place of CT scan (invasive and rarely used nowadays)

* If stable with negative/inconclusive FAST exam, can also consider serial abdominal exams in place of CT scan

- CT scan: detects abdominal fluid, solid organ injury, retroperitoneal hematomas

- FAST: detects hemoperitoneum [Note: FAST is done on stable patients in penetrating trauma]

- DPL: aspirate abdomen to see if you can get fecal material / blood which implies something blew up. DPL is only used for blunt, NOT penetrating abdominal trauma evaluation (penetrating trauma warrants immediate surgical laparotomy in this scenario)

- Contrast with penetrating abdominal trauma → if unstable then ex-lap



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#AK_Step2_v12::#SketchySurgery::02_Trauma,_Burns,_Critical_Care::01_Intial_Assessment_of_a_Trauma_Patient::01_Initial_Assessment_of_a_Trauma_Patient_Primary_Survey #AK_Step2_v12::#Resources_by_rotation::Surgery::ome::trauma::abd AnkiHub_ImageReady::Extra #AK_Step2_v12::#SketchySurgery::02_Trauma,_Burns,_Critical_Care::01_Intial_Assessment_of_a_Trauma_Patient::Retired_Lesson::01_Initial_Assessment_of_a_Trauma_Patient_[OLD_VERSION] #AK_Step2_v12::#UWorld::COMLEX::101285 !AK_UpdateTags::Step2decks::Cheesy-Dorian-(M3)::Surgery::1-OME::3 #AK_Step2_v12::!FLAG_THESE_CARDS::Potential_duplicates !AK_UpdateTags::^temporary::ImageFix::17::done !AK_UpdateTags::AnKing_Image::Ahmed AnkiHub_ImageReady::Text #AK_Original_Decks::Step_2::Cheesy_Dorian_(M3) #AK_Step2_v12::#Subjects::Gastroenterology::13_Trauma::Blunt_Trauma #AK_Step2_v12::#UWorld::Step::4500 #AK_Step2_v12::#OME::06_Surgery::02_Trauma::05_Abdominal_Trauma #AK_Step2_v12::$AnKingUpdates::$Errata::v10-minor_text_changes !AK_UpdateTags::step2PotentialDupes::anking_surgery::dupe_within #AK_Step2_v12::#OME::Clinical::06_Surgery::02_Trauma::05_Abdominal_Trauma #AK_Step2_v12::Original_decks::Dorian::surg::ome::trauma::abd #AK_Step2_v12::#UWorld::COMLEX::101708 #AK_Other::Card_Features::^One_By_One #AK_Step2_v12::#SketchySurgery::02_Trauma,_Burns,_Critical_Care::03_Abdominal_Trauma::Retired_Lesson::03_Blunt_Abdominal_Trauma_2_Management_of_Peritoneal_Injuries_[OLD_VERSION] #AK_Step2_v12::#SketchySurgery::02_Trauma,_Burns,_Critical_Care::03_Abdominal_Trauma::03_Blunt_Abdominal_Trauma_2_Managment_of_Peritoneal_Injuries #AK_Step2_v12::#SketchySurgery::02_Trauma,_Burns,_Critical_Care::03_Abdominal_Trauma::Retired_Lesson::06_Pelvic_Trauma_[OLD_VERSION] !AK_UpdateTags::AnKing_Image::Mujeeb #AK_Step2_v12::#SketchySurgery::02_Trauma,_Burns,_Critical_Care::03_Abdominal_Trauma::Retired_Lesson::02_Blunt_Abdominal_Trauma_1_Presentation_and_Workup_[OLD_VERSION] #AK_Step2_v12::#SketchySurgery::02_Trauma,_Burns,_Critical_Care::03_Abdominal_Trauma::04_Blunt_Abdominal_Trauma_3_Managment_of_Retroperitoneal_Injuries #AK_Step2_v12::#B&B::03_Emergency_Medicine::02_Trauma::04_Abdominal_Trauma::Extra !AK_UpdateTags::AnKing_Image::Mujeeb::Abdominal_Trauma_Management #AK_Step2_v12::#SketchySurgery::02_Trauma,_Burns,_Critical_Care::03_Abdominal_Trauma::02_Blunt_Abdominal_Trauma_1_Presentation_and_Workup #AK_Step2_v12::#SketchySurgery::02_Trauma,_Burns,_Critical_Care::01_Intial_Assessment_of_a_Trauma_Patient::02_Initial_Assessment_of_a_Trauma_Patient_Secondary_Survey #AK_Step2_v12::#UWorld::Step::4930 #AK_Step2_v12::#SketchySurgery::02_Trauma,_Burns,_Critical_Care::03_Abdominal_Trauma::09_Abdominal_Surgical_Emergencies