SAQ 989 – FAST and CT imaging in stable blunt trauma

A 23-year-old woman is brought to your ED after a high-speed motor vehicle crash.

Her vital signs are normal but she has right upper abdominal tenderness without peritonism. Secondary survey finds no other injuries.

An abdominal FAST is performed; the right upper quadrant image is shown below.

Outline the role of abdominal FAST in haemodynamically stable blunt trauma patients.

(Marked out of 3.0)

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Describe the right upper quadrant findings on the FAST image.

(Marked out of 2.0)

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What are the pitfalls and limitations of FAST ultrasound scanning in trauma?

(Marked out of 4.0)

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Discuss advantages and disadvantages of whole-body CT scanning versus selective imaging in trauma.

(Marked out of 4.0)

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Complete the table about ionising radiation from CT imaging.

(Marked out of 4.0)
</p> <table class="saq-prop-table" style="width: 100%; max-width: 100%; table-layout: fixed; border-collapse: collapse;"> <thead> <tr> <th style="overflow-wrap: anywhere; word-break: normal; white-space: normal; vertical-align: top; box-sizing: border-box;">Investigation</th> <th style="overflow-wrap: anywhere; word-break: normal; white-space: normal; vertical-align: top; box-sizing: border-box;">Dose (mSv)</th> <th style="overflow-wrap: anywhere; word-break: normal; white-space: normal; vertical-align: top; box-sizing: border-box;">Equivalent chest X-rays</th> <th style="overflow-wrap: anywhere; word-break: normal; white-space: normal; vertical-align: top; box-sizing: border-box;">Equivalent natural background radiation</th> </tr> </thead> <tbody> <tr> <td style="overflow-wrap: anywhere; word-break: normal; white-space: normal; vertical-align: top; box-sizing: border-box;">Head CT</td> <td style="overflow-wrap: anywhere; word-break: normal; white-space: normal; vertical-align: top; box-sizing: border-box;"></td> <td style="overflow-wrap: anywhere; word-break: normal; white-space: normal; vertical-align: top; box-sizing: border-box;"></td> <td style="overflow-wrap: anywhere; word-break: normal; white-space: normal; vertical-align: top; box-sizing: border-box;"></td> </tr> <tr> <td style="overflow-wrap: anywhere; word-break: normal; white-space: normal; vertical-align: top; box-sizing: border-box;">CT abdomen/pelvis</td> <td style="overflow-wrap: anywhere; word-break: normal; white-space: normal; vertical-align: top; box-sizing: border-box;"></td> <td style="overflow-wrap: anywhere; word-break: normal; white-space: normal; vertical-align: top; box-sizing: border-box;"></td> <td style="overflow-wrap: anywhere; word-break: normal; white-space: normal; vertical-align: top; box-sizing: border-box;"></td> </tr> </tbody> </table> <p>

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Total Score: 0 / 17

Percentage: 0%