Question

have a young male with multiple stab wounds. he’s lost a lot of blood and we can barely get a pressure,” the emt radios the triage nurse in emergency room as the ambulance squeals through traffic. “we started an iv and we are infusing in fluid as fast as we can.”

“where are the wounds?” asks the receiving nurse.

“he has a deep wound in his right upper quadrant, inferior to the diaphragm. i can see bruising in the hub of the knife around the wound, and there is another wound in his anterior right thigh. his pulse is 120 and weak. his blood pressure is 60 over 30.”

“how long has he been down?” questions the nurse.

“less than a half hour. we intubated him inserted a breathing tube and started a large bore iv as soon as we got there. we are 10 minutes out now.”

“keep the fluids going wide open, keep pressure on the thigh, and take him directly to trauma room 1.”

come the nurse’s instructions.

alternatively, the nurse orders the trauma team to trauma room 1, ensures x - ray is on standby in the trauma room, and requests a unit of type o negative the room, and reflects a sense of blood—from the...

which abdominal organs are most likely to be injured by this stabbing?

options:

• the stomach, spleen, and large and small intestines
• the large intestine, kidney, and bladder
• the liver, gall bladder, stomach, and both the large and small intestines
• the small intestine, bladder, and kidney

part d
which major body division and regional areas were affected by the stab wound?

options:

• the abdominal region of the axial division
• the abdominal region of the appendicular division
• the pelvic region of the axial division
• the crural region of the axial division

Explanation:

The stab wound is in the right upper quadrant (RUQ) of the abdomen. Organs in the RUQ include the liver, gallbladder, part of the stomach, and parts of the large and small intestines. The other options include organs not primarily in the RUQ (e.g., spleen in left upper quadrant, bladder in pelvic region, kidneys in posterior abdominal region, small intestine in multiple regions but the option with RUQ - related organs is the correct match).

Answer:

the liver, gall bladder, stomach, and both the large and small intestines