Question

You are a Physician Assistant working at an Urgent Care Clinic in Wapiti, WY. You review a patient’s chart prior to going in to asses him. You discover that it is a 26 year old male who presents with a lacerations and pain to his right orbit, brachium and femoral regions and pain in his thoracic and lumbar regions. Per the history, he was mountain biking, attempted to jump a large boulder and ended up crashing his bike. He had immediate onset of pain and he doesn’t think he lost consciousness. His friend was riding ahead of him and after waiting for 15 minutes, he came back to find the patient laying on the ground, bleeding. The patient was escorted back to the car about 1 mile away, limping. Upon admission, the nurse took his vitals. The patient is alert and oriented x 3 (person, place, time), his blood pressure is slightly elevated (130/95), oral temperature is 96.9, the patient was assessed for and cleared of ingesting any drugs or alcohol, he urinated upon arrival and blood was noted in urine.

1. Describe the location of his injuries.

2. What quadrants of his abdomen appear to be injured? What major organ systems may reside in these regions?

Answer 1

1. Describe the location of his injuries?

The location of the injuries include eye where the acerations and pain in right orbit occurs. Brachium is the upper arm and femoral regions are the thigh. Lumbar is the lower region or abdomen which is also referred as lower spine. Thoracic is the chest portion where heart and lung reside.

2. What quadrants of his abdomen appear to be injured? What major organ systems may reside in these regions?

Fourth quadrants of the abdomen appeared to be injured also called as lumbar region.The major organs of this region are liver, gallbladder, and ascending colon.