GI trauma

Descrição

Post grad FRCR 2a GI Bowel Mapa Mental sobre GI trauma, criado por sherry_zaman em 07-03-2014.
sherry_zaman
Mapa Mental por sherry_zaman, atualizado more than 1 year ago
sherry_zaman
Criado por sherry_zaman mais de 10 anos atrás
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Resumo de Recurso

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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