Penetrating abdominal trauma: FAST? - USMLE Forums
USMLE Forums Logo
USMLE Forums         Your Reliable USMLE Online Community     Members     Posts
Home
USMLE Articles
USMLE News
USMLE Polls
USMLE Books
USMLE Apps
Go Back   USMLE Forums > USMLE Step 2 CK Forum

USMLE Step 2 CK Forum USMLE Step 2 CK Discussion Forum: Let's talk about anything related to USMLE Step 2 CK exam


Reply
 
Thread Tools Search this Thread Display Modes
  #1  
Old 06-07-2011
docoftheworld's Avatar
USMLE Forums Veteran
 
Steps History: 1 + CS
Posts: 204
Threads: 56
Thanked 42 Times in 37 Posts
Reputation: 52
Send a message via Skype™ to docoftheworld
Surgery Penetrating abdominal trauma: FAST?

I dont understand why in UW they mention that in the setting of a penetrating Abdo. Trauma, a FAST was one of the steps before laparotomy ...

if its penetrating, be it stable or unstable YOU MUST OPEN the belly ... why the FAST ... I never understood ...

could you justify this?
Reply With Quote Quick reply to this message



  #2  
Old 06-07-2011
Ace3's Avatar
USMLE Forums Master
 
Steps History: 1+CK+CS
Posts: 735
Threads: 89
Thanked 289 Times in 191 Posts
Reputation: 301
Default

FAST is considered to confirm any site of retroperitoneal bleeding...if u open belly without knowing or confirming origin of bleeding ...it does not make sense...
Reply With Quote Quick reply to this message
  #3  
Old 06-07-2011
docoftheworld's Avatar
USMLE Forums Veteran
 
Steps History: 1 + CS
Posts: 204
Threads: 56
Thanked 42 Times in 37 Posts
Reputation: 52
Send a message via Skype™ to docoftheworld
Default

the guy has a bullet in his belly dude ... whether he is retrobleeding or not you gotta open the belly ... this is an important concept
Reply With Quote Quick reply to this message
 
  #4  
Old 06-07-2011
USMLE Forums Addict
 
Steps History: 1+CK+CS
Posts: 132
Threads: 11
Thanked 185 Times in 70 Posts
Reputation: 195
Default

The rules are different for bullet vs stab wounds. This was a bullet wound?

All gunshot wounds below the 4th intercostal space need an ex-lap.
*note: this is different from other penetrating wounds such as stabbing
Reply With Quote Quick reply to this message
  #5  
Old 06-07-2011
docoftheworld's Avatar
USMLE Forums Veteran
 
Steps History: 1 + CS
Posts: 204
Threads: 56
Thanked 42 Times in 37 Posts
Reputation: 52
Send a message via Skype™ to docoftheworld
Default

hi healer,

actually no, its not different IF a stab wound IS INSIDE the peritoneal cavity, then Ex lap should also be done no matter what stable or unstable .... perit cavity is a sacred place

thats why UW investigation is redundant, why the heck would u do FAST if you are going to open no matter what ... acutally, in KAPLAN SURG they say clearly, if its penetrating perit cavity: no more investigations, wheel to the or table
Reply With Quote Quick reply to this message
  #6  
Old 06-07-2011
Ace3's Avatar
USMLE Forums Master
 
Steps History: 1+CK+CS
Posts: 735
Threads: 89
Thanked 289 Times in 191 Posts
Reputation: 301
Default

Quote:
Originally Posted by healer2b View Post
The rules are different for bullet vs stab wounds. This was a bullet wound?

All gunshot wounds below the 4th intercostal space need an ex-lap.
*note: this is different from other penetrating wounds such as stabbing
yeah ...i too agree on this point exp lap is considered diagnostic and therape as well in gsw....would u elaborate condition of patient whether the pt is stb or unstable....if stable with gsw fast is considered...not sure ..
Reply With Quote Quick reply to this message
The above post was thanked by:
docoftheworld (06-07-2011)
  #7  
Old 06-07-2011
docoftheworld's Avatar
USMLE Forums Veteran
 
Steps History: 1 + CS
Posts: 204
Threads: 56
Thanked 42 Times in 37 Posts
Reputation: 52
Send a message via Skype™ to docoftheworld
Default

unstable ... thts how it was in UW ... and still they did FAST
Reply With Quote Quick reply to this message



Reply

Tags
Surgery-

Quick Reply
Message:
Options

Register Now

In order to be able to post messages on the USMLE Forums forums, you must first register.
Please enter your desired user name, your email address and other required details in the form below.
User Name:
Password
Please enter a password for your user account. Note that passwords are case-sensitive.
Password:
Confirm Password:
Email Address
Please enter a valid email address for yourself.
Email Address:
Medical School
Choose "---" if you don't want to tell. AMG for US & Canadian medical schools. IMG for all other medical schools.
USMLE Steps History
What steps finished! Example: 1+CK+CS+3 = Passed Step 1, Step 2 CK, Step 2 CS, and Step 3.

Choose "---" if you don't want to tell.

Favorite USMLE Books
What USMLE books you really think are useful. Leave blank if you don't want to tell.
Location
Where you live. Leave blank if you don't want to tell.

Log-in

Human Verification

In order to verify that you are a human and not a spam bot, please enter the answer into the following box below based on the instructions contained in the graphic.



Thread Tools Search this Thread
Search this Thread:

Advanced Search
Display Modes


Similar Threads
Thread Thread Starter Forum Replies Last Post
How fast should type the patient note in CS? saleemfr86 USMLE Step 2 CS Forum 3 11-07-2011 02:03 AM
Let us Sharing tricks of Fast Reading silakan_isi USMLE Step 1 Forum 0 02-06-2011 01:12 PM
Tachypnea after severe trauma good_boy_1234 USMLE Step 2 CK Forum 4 06-12-2010 10:02 AM
Overnight Fast RBCs! Seetal USMLE Step 1 Forum 5 04-14-2010 04:27 AM

RSS Feed
Find Us on Facebook
vBulletin Security provided by vBSecurity v2.2.2 (Pro) - vBulletin Mods & Addons Copyright © 2017 DragonByte Technologies Ltd.

USMLE® & other trade marks belong to their respective owners, read full disclaimer
USMLE Forums created under Creative Commons 3.0 License. (2009-2014)