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CC Exam 4
| S&S/desciption | Disorder/term |
|---|---|
| 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
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