GI trauma

Beschreibung

Post grad FRCR 2a GI Bowel Mindmap am GI trauma, erstellt von sherry_zaman am 07/03/2014.
sherry_zaman
Mindmap von sherry_zaman, aktualisiert more than 1 year ago
sherry_zaman
Erstellt von sherry_zaman vor mehr als 10 Jahre
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Zusammenfassung der Ressource

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