Routine Radiology of Trauma Patients: Identifying Thoracic and Abdominal Injuries, Slides of Radiology

Download Routine Radiology of Trauma Patients: Identifying Thoracic and Abdominal Injuries and more Slides Radiology in PDF only on Docsity! Routine Radiology of the Trauma Patient docsity.com Introduction C docsity.com Pulmonary Contusions C docsity.com Hemothorax C docsity.com Hemothorax •How it happens: • Trauma to arteries /veins • Damage to heart, lungs, thymus, or diaphragm • Ruptured herniated abdominal viscera •Radiographic signs: • Pleural effusion • Diffuse or ventral • Scalloping/fissures •What’s next? • Thoracocentesis • +/- Surgical exploration • Oxygen, transfusion, fluids docsity.com Pneumothorax =i, E C docsity.com Pneumothorax •How it happens: • Chest wall rent • Lung rupture • Extension of pneumomediastinum •Radiographic signs: • Retracted lungs • +/- collapse • Raised heart • +/-Small heart • +/-flat caudal diaphragm • +/-mediastinal shift •What’s next? • Thoracocentesis docsity.com Pneumothorax docsity.com What to look for in the abdomen Hemoperitoneum Renal avulsion Uroperitoneum Traumatic hernias docsity.com Hemoperitoneum •How it happens: • Ruptured spleen • Ruptured liver • Disrupted vasculature • Avulsed bladder •Radiographic signs: • Peritoneal effusion • Focal or diffuse • Decreased serosal detail •What’s next? • U/S • Abdominocentesis docsity.com feKosselejolesmaneyatoib pen! C docsity.com Renal Avulsion TF AC Lat yf mG WAU p Atel al=y ead sree = os gg Pry in, 15/29 2009 N Tr mee Tees [ny s 60% i or or ¥ P Low ta Res Res cE cE co ra Seed ied WF 8sHz rig re Med ry] aa i ele) TAR Ple Bal ee W:254 L:127 C) 1d:DCM / Lin:DCM / Id:ID. W:254 L:127 docsity.com Uroperitoneum •How it happens: • Ruptured bladder • Avulsed/torn ureter • Urethral tear •Radiographic signs: • Diffuse decreased serosal detail • Focal detail loss in the RPS •What’s next? • Abdominocentesis • IVP (EU) • Cystogram • Urethrogram docsity.com Ruptured Bladder eA ia Reel eu oe tuna) facia The urethrocystogram docsity.com Traumatic Hernia •How it happens: • Rapid increase in intra- abdominal pressure • Rent in the body wall, inguinal canal, or perineal wall •Radiographic signs: • Extra-abdominal mass • Disruption of the body wall • +/-Containing gas-filled loops of intestines • +/-Missing abdominal viscera •What’s next? • U/S mass • Surgical repair docsity.com Traumatic Hernia C docsity.com