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Athletic Injuries ATC Hematuria

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					Athletic Injuries
   ATC 222

Thorax and Abdomen




    Chapter 21
     Abdominal Injuries
• Muscle contusions
  – not common
  – internal trauma?
• Strains
  – very disabling
• Hernia
  – protrusion of abdominal viscera
  – congenital Vs. acquired
  – types
     • inguinal (males)
     • femoral (female)
  – Signs and Symptoms
     • pain, protrusion
     • pain with coughing
     • history of a “strain”
     Abdominal Injuries
• “Stitch in the Side”
  – Possible Causes
     •   ischemia
     •   constipation/gas
     •   overeating
     •   weak abdominal muscles
     •   spasm of diaphragm (poor conditioning
         level)
  – Treatment
     • stretch arm overhead
     • flexion of trunk
     • study possible causes
     Abdominal Injuries
• Appendicitis
  – ages 15-24
  – bacterial infection
  – S/S
     • cramping/pain at McBurney’s Point
     • nausea/vomiting
     • low grade fever
• “Blow to Solar Plexus”
  – “wind knocked out”
  – temporary paralysis of diaphragm
  – S/S
     • respiratory distress and paranoia
  – Treatment
     • calm athlete, loosen belt, flex knees
     • prevent hyperventilation, Consider int.
       trauma
     Abdominal Injuries
• Spleen Laceration
  – most commonly injured organ from
    blunt trauma
  – High risk with which illness?
  – S/S
    •   direct blow
    •   shock
    •   abdominal rigidity
    •   nausea/vomiting
    •   positive Kehr’s sign
  – Spleen splinting and delayed
    hemorrhage
     Abdominal Injuries
• Liver Contusion/Laceration
  – High risk due to what disease?
  – S/S
    • shock
    • pain URQ
    • referred pain posterior right shoulder
• Kidney Contusion/Laceration
  – S/S
    •   shock
    •   nausea/vomiting
    •   back rigidity
    •   hematuria
     Abdominal Injuries
• Hollow Organs
  – low risk
  – meals 3-4 hrs. before activity
  – use restroom before activity
        Scrotal Contusion
– S/S
   • self-explanatory
– Treatment
   • flex knees, drop 3-4”, jump
        – decrease cremasteric spasm
         Thoracic Cavity
• Ribs
  – attach to thoracic vert. and sternum
  – protection, respiration
  – types
• Costal Cartilage
  – joins ribs to sternum
  – joins false ribs to true ribs
              Rib Injuries
• Contusion Vs. Fracture Vs.
  Costochondral Separation
  – S/S
     •   location of pain
     •   pain with respiration
     •   crepitus?
     •   deformity?
     •   positive compression test
  – Possible internal trauma
  – Treatment
     • contusion
     • fracture
     • costochondral separation
Goodbye

				
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