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CC Exam 4

tea colored urine myoglobinuria
tightness, severe pain, swelling compartment syndrome
no response to painful stimuli flaccid
opposite extremity tries to remove painful stimuli localized
extension arms out, internal rotation decerbrate
flexion arms in, adducted, hyperpronated decorticate ("toward the core")
bradycardia, systolic HTN, widening pulse pressure Cushing's triad
sudden onset acute neuro symptoms > 24 hr stroke
brief episode of neuro symptoms < 24hr TIA
crescendo & decrescendo with brief periods of apnea Cheyne-Stokes
decreased blood flow or stopped caused by hemodynamic insult ischemic stroke
rupture of AVM/aneurysm bleeding into spaces or cerebral tissue hemorrhagic stroke
erythema and mild discomfort superficial burn
blisters bright red or mottled partial burn
pale, brown, charred, leathery, painless full burn
initiation of fluid replacement measurements parkland formula 4cc/kg/TBSA
0.5-1ml/kg/hr replacement fluids for burns
facial burns, singed facial hair, carbon deposits oropharynx, carbonaceous sputum inhalation injury
tachypnea/cardia, confused, lightheaded early carbon monoxide poisoning
h/a, n/v, dizzy, confused, dyspneic late carbon monoxide poisoning
CNS disturbances 15-40%
unresponsiveness 40-60%
fatal >60%
ABCDE primary
AMPLE secondary
parietal or temporal fracture vault
otorrhea, battle's sign, raccoon eyes, rhinorrhea basilar fracture
confusion, disorientation, irritability, impaired memory, amnesia, h/a, inability to concentrate, fatigue concussion
directly under pressure point coup
opposite of point contrecoup
brief loss progresses to lucidity then rapid drop in LOC, dilated pupils on same side, severe localized H/A, sleepy epidural hematoma
sudden change in LOC & unequal pupils acute subdural hematoma
tired/nonenergetic & H/A chronic subdural hematoma
slow changes in LOC & H/A subacute subdural hematoma
doesn't show up on a CT must use MRI Diffuse axonal injury
neuro smell Diffuse axonal injury
loss of muscle tone & reflexes, bradycardia, and hypotension spinal shock
bradycardia, facial flushing, HTN, HA, possible seaizures, hemorrhage, & pulmonary edema autonomic dysreflexia
intrathoracic vascular injury rib fractures 1-2
liver & spleen injury rib fractures 7-10
2 or more fractures no longer attached to rib cage flail chest
can be fatal ruptured diaphragm
dyspnea, tachycardia, tracheal deviation, sudden chest pain tension pneumothorax
Beck's triad cardaic tamponade
increasing CVP with neck vein distention, muffled heart sounds, hypotension Beck's triad
primary injured organ in penetrating liver
primary injured organ in blunt trauma spleen
most common GU trauma sign heamturia
Created by: midnight1854