SAQ 777 – Trauma – blunt abdominal trauma CT and TEG responses

A young unidentified patient presents to your tertiary ED after an unrestrained motor-vehicle crash. Single axial and coronal portal venous contrast CT slices are shown.

Case image courtesy of Assoc. Prof Craig Hacking, Radiopaedia.org, rID: 34984.

List three (3) abnormal findings on the CT.

(Marked out of 3.0)

/ 3

Regarding CT in blunt abdominal and pelvic trauma, list five (5) pathologies that may often be missed on the initial scan.

(Marked out of 5.0)

/ 5

For trauma thromboelastography, list a treatment response to each TEG abnormality shown in the table.

(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;">TEG abnormality</th> <th style="overflow-wrap: anywhere; word-break: normal; white-space: normal; vertical-align: top; box-sizing: border-box;">Treatment response</th> </tr> </thead> <tbody> <tr> <td style="overflow-wrap: anywhere; word-break: normal; white-space: normal; vertical-align: top; box-sizing: border-box;">Increased R time</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;">Decreased alpha angle</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;">Decreased MA</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;">Fibrinolysis</td> <td style="overflow-wrap: anywhere; word-break: normal; white-space: normal; vertical-align: top; box-sizing: border-box;"></td> </tr> </tbody> </table> <p>

/ 4

Total Score: 0 / 12

Percentage: 0%