MEDI7212 Lecture Notes - Lecture 65: Superinfection, Nonsteroidal Anti-Inflammatory Drug, Amylase
Document Summary
Liver = lhs, 5th ic space -> 9th ic space. Spleen = rhs, 9th ic space -> 11th ic space: kidney = 11th ic space or t12 -> l3. Intrathoracic abdomen: upper abdomen lying beneath the rib cage containing diaphragm, liver, spleen and stomach. Pelvic abdomen: bony pelvic containing the urinary bladder, urethra, rectum, small intestine, female structures (ovaries, fallopian tubes, uterus) Retroperitoneal abdomen: kidneys, ureters, pancreas, aorta and vena cava, hard to detect on physical exam, thus use ct, angiography or iv pyelography. Small and large intestines, sometimes gravid uterus or distended bladder: perforation of organs has significant physical findings (pain, peritonitis, plain xr for free air or dpl. Injury severity depends on distance of fall, surface of landing, whether fall is broken. Localising the bullet helps predict at risk organs. Clinical evaluation: history taking, obtain a detailed history once life-threatening injuries have been properly managed.
