U3 - Internal Injuries & Conditions

right upper quadrant contains (2)

liver, gallbladder

left upper quadrant contains (3)

spleen, stomach, pancreas

right lower quadrant contains (5)

kidney, ovary, fallopian tube, appendix, ascending colon

lower left quadrant contains (4)

kidney, ovary, fallopian tube, descending colon

hemiparesis

muscle weakness on one side of the body

stomach function (3)

digestion of food, secretion of gastric juices, secretion on gastric hormones

stomach location

liver function (5)

detoxification of chemicals, vitamin storage, food metabolism, bile production, sugar

liver location

gall bladder function (1)

storage of bile

gall bladder location

pancreas function (1)

produces insulin and enzymes for digestion

pancreas location

small intestine function (1)

food absorption into blood stream

small intestine location

large intestine function (2)

waste storage and removal, water absorption

large intestine location

Appendix function (1)

storehouse for good bacteria

appendix location

spleen function (3)

produces/destroys RBC, removal of harmful microorganisms, blood storage

spleen location

kidneys function (3)

maintain blood pressure, filter blood, balance of materials

ureters function (1)

carry unine from kidneys to bladder

ureters location

kidneys location

alveoli function (1)

site of oxygen/carbon dioxide exchange

left lung lobes

2 lobes

right lung lobes

3 lobes

path of air

trachea - bronchi - bronchioles - alevoli

controls breathing rate

CO2 receptors

diaphragm function (1)

moves up/down to assist with breathing

determined when taking history if internal injury (4)

mechanism, onset, symptoms, location, quantity/quality of pain

internal injuries are difficult to recognize because (2)

muscle guarding can hide severity, slow bleeding

rebound tenderness

pain after removing pressure from organ

hemoptysis

coughing blood

hematemesis

vomiting blood

hematuria

blood in urine

ecchymosis

deeply purple skin

on field treatment of internal injuries (3)

call 911, treat for shock, address external bleeding

shock treatment (6)

treat original injury, keep athlete warm, elevate (no fracture), assess breathing/pule every 5 min, nothing to eat/drink, turn head to side if LOC

laparotomy

small incision, instruments inserted

laparoscope

camera tool

thoracotomy

opens side of chest

s/s of spleen injury (7)

pain in LUQ/under ribcage, tenderness in LUQ, vomiting, rapid heart rate, decreased blood pressure, shock, kehrs sign

kehrs sign

pain traveling to the left shoulder

inguinal hernia

inner groin hernia

incisional hernia

hernia resulting from incision

femoral hernia

outer groin hernia

umbilical hernia

navel hernia

hernia mechanism (4)

lifting without using abs, diarrhea/constipation, coughing, poor health

kidney injury mechanism

direct blow to lower back

s/s of kidney injury (6)

c/o pain under posterior ribs, radiating pain to bladder, pain with trunk extension, relief with flexion, nausea/vomiting, hematuria

common rib injuries (3)

contusions, torn cartilage, fractures

rib injury s/s (6)

pain while bleeding, crepitation, tenderness upon palpation, chest deformity, shallow breathing, coughing

rib injury treatment (5)

rest, ice, NSAIDS, deep breathing, don’t wrap