Zusammenfassung der Ressource
GI trauma
- blunt trauma
- most common GIT injury
- 1. jejunum
- 2. duodenum
- CT
- haemoperitoneum
- paracolic gutters and pelvis
- IV contrast HU units
- Serum 0-20
- unclotted blood 30-45
- clotted blood 50-100
- active bleed >180
- hypovolaemia
- hypovolaemia
- Collapsed IVC
- heterogenous hepatic
enhancement
- typically lower than spleen
- small hypo dense spleen
- small aorta
- pancreas hyper intense to liver
- adrenal enhancement
- extraluminal oral contrast
- extraluminal air
- mesenteric stranding
- pancreas>liver>spleen>GIT>kidney
- pancreatic injury
- I: haematoma
- II: parenchymal injury; duct intact
- III: major duct injury
- IV: crush injury
- penetrating trauma
- liver>pancreas>GIT>kidney>spleen
- liver lac grade
- I: small subcapsular haematoma
- VI: hepatic avulsion
- III: intraparenchymal haematoma