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Definition

Physical trauma  is defined as any wound or shock resulting from sudden injury, such as that caused by an accident or impact.

Trauma injuries are characterized by their severity and need for immediate treatment, preferably within the ‘golden hour’ of emergency medicine. 

Physical trauma may be caused in a variety of instances, such as car accidents, falls, crushing injuries, and shootings, and results in an equally wide variety of injuries, including internal bleeding and hemorrhaging, pneumothorax, fractures, brain damage, and ______.

Trauma injuries may be complicated by certain preexisting conditions, such as hemophilia…

Diagnosis is suspected clinically by … and confirmed by ….

Imaging includes the use of

Treatment options depend on …. but includes …..

Etymology if available

Principles

 

Acute Trauma

Contusion

Brain Contusion
70048c01 brain parietal lobe fx hyperdensity small halo edema dx traumatic cerebral contusion bruise injury of brain without a break in the skin. L. Contusio, from contundere = to bruise CTscan 70048c01 70048.800 Davidoff MD

Blood Swelling – Footprints of Force

Acute Traumatic Injury with Floor of Orbit and Roof of Maxillary Sinus Fracture
48729c01 bone face skull inferior orbital wall maxillary sinus air fluid level blood swelling fracture skin edema bruise trauma forces 3D volume rendering CTscan Davidoff MD

Bilateral Subdural Hematomas
70000.800 skin brain cerebrum cerebral subcutaneous subdural contra coup fx acute blood fx density dense subdural hematoma subcutaneous hematoma trauma radiologists and detectives CTscan Davidoff MD

Aortic Laceration, Pseudoaneurysm, Mediastinal Hematoma,  and Hemothorax
17540c02 thorax thoracic aorta isthmus aortic laceration pseudoaneurysm leak contained rupture posterior mediastinal hematoma pleura pleural effusion hemothorax aortic laceration trauma traumatic tear trauma MVA CTscan Courtesy Ashley Davidoff MD 17536b01 17537 17538 17539 17540 17540c01 17540c02

Aortic Laceration, Pseudoaneurysm, Site of the Rupture
17540c01 thorax thoracic aorta isthmus aortic laceration pseudoaneurysm leak contained rupture posterior mediastinal hematoma pleura pleural effusion hemothorax aortic laceration trauma traumatic tear trauma MVA CTscan Courtesy Ashley Davidoff MD 17536b01 17537 17538 17539 17540 17540c01 17540c02

Laceration
82875.800 trauma hand knuckle carpal bones skin abrasion blood coagulation redness inflammation vein Davidoff MD Davidoff photography

Traumatic Dislocation
72041.800 elbow bone olecronon fracture humerus ulna radius fx dislocation position trauma plain X-ray Davidoff MD

Mechanical Disorder Fracture

Fractured Mandible
45669 bone maxillofacial mandible face cheek orbit frontal sinus teeth maxilla nasal bone concha zygomatic bone dx fracture of the mandible fracture of the left condyle TMJ skull CT scan Courtesy Ashley Davidoff MD 5star

Traumatic Amputation
70179.800 bone soft tisue thumb distal phalanx fx amputation acute trauma soft tissue swelling Davidoff MD

Boxers Fracture 15 year old –  Healing 4 Weeks Later
72175c01.800 15 year old with pain after punching bone hand 5th metacarpal fracture growth plates epiphyses epiphysis Boxer’s fracture four weeks later 4 weeks healing osteoid periosteal reaction osteoclastic activity periosteum plain X-ray plain film Davidoff MD

Chronic Trauma

Ex Vacuo Force
49675c01 brain cerebrum cerebral frontal lobe parietal lobe young woman hx of brain trauma after MVA fx focally dilated right anterior ventricle volume loss frontoparietal region dx trumatic brain injury with gliosis volum loss and ex vacuo changes CTscan Davidoff MD

Potential for Disaster Treated
49586c01 bone thoracic spine compression fracture trauma cement reenforcement wek link units to unity units to dysunity joints treatment CTscan Davidoff MD

A Single Disastrous Event
46549c01 spinal cord nerves colon hand femur hip bladder rectum size position bullet skin dx bullet wound quadraplegic radiologists and detectives CTscan Davidoff MD

Acute Traumatic Injury with Floor of Orbit and Roof of Maxillary Sinus Fracture
48729c01 bone face skull inferior orbital wall maxillary sinus air fluid level blood swelling fracture skin edema bruise trauma forces 3D volume rendering CTscan Davidoff MD

Pathological Fracture
49471c03 bone hx male with history of metastatic lung carcinoma bone femur femoral neck fx fracture fx osteolytic bone lesion in neck dx pathological fracture artery atherosclerosis CTscan Davidoff MD 49471c032

Chronic Trauma

Skin

Acute Traumatic Injury with Floor of Orbit and Roof of Maxillary Sinus Fracture
48729c01 bone face skull inferior orbital wall maxillary sinus air fluid level blood swelling fracture skin edema bruise trauma forces 3D volume rendering CTscan Davidoff MD

Traumatic Dissection of the Abdominal Aorta wit Loss of Perfusion of the Left Renal Artery
These images represent a traumatic dissection of the abdominal aorta caused by a compression injury to the abdomen. The angiograms in a and b shows what appears to be a complex tear of the aorta with a dissection and then a subtotal obstruction of the aorta distally. The CTscan shows (c) the dissection to better effect, with a subtotal narrowing of the aorta distally. Note also the injury of the left renal artery on the angiogram as well as the lack of perfusion of the left kidney on the CT scan. Courtesy Ashley Davidoff MD. 14734c code aorta abdomen trauma dissection

Trauma to Capsule of the Car
84389p.800 car trauma force dented door disorder injury protective wall Davidoff photography Davidoff MD