🚑 FAST exam in trauma? Check for free fluid fast when you see: ✅ Blunt abdominal trauma ✅ Hypotension ✅ Seatbelt sign or abdominal bruising ✅ Positive RUQ, LUQ, pelvis, or pericardial windows Management: 🚫 Don’t delay for CT if unstable 🧪 FAST = Focused Assessment with Sonography for Trauma 🛑 Positive FAST unstable = OR, not scanner 🖤 Blood pools in dependent areas — Morrison’s pouch, pelvis, pericardium #drhavocandbrody #medstudent #usmle #surgery #trauma #traumasurgery #medicalschool #fas
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Here’s how I answer blunt abdominal trauma on the USMLE Step 2 CK. First, in the vignette, look at the vitals. This helps out in majority of NBME questions. If the patient is… Unstable? 😳 ⊕ Peritonitis → next best step is exploratory laparotomy 🔪 Vital signs are stable? ☺️ Then think doing a CT Scan of the Abdomen & Pelvis 📸 Bonus, NBME questions may allude to a FAST ultrasound…remember, it’s great for intraperitoneal fluid, not retroperitoneal (duodenum/pancreas)! Save this! Hope it’s helpfu
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