Prehospital Trauma Life Support (PHTLS) Practice Test 2025 – All-in-One Resource to Ensure Exam Success!

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When assessing a trauma patient, what does distension of the abdomen suggest?

Possible internal bleeding or organ injury

Distension of the abdomen in a trauma patient is an important clinical finding that may indicate possible internal bleeding or organ injury. When the abdominal cavity experiences bleeding or swelling due to trauma, the accumulation of fluid (either blood or other fluids) can lead to an increase in the size of the abdomen, creating a distended appearance. This condition could suggest serious underlying injuries such as ruptured organs or significant internal bleeding, which are critical to identify as they may require immediate medical intervention.

Recognizing abdominal distension as a potential sign of internal issues allows healthcare providers to prioritize further assessment and intervention, as it may influence the approach to managing the patient's overall trauma care. Indicators like this are crucial in determining the patient's stability and the need for potential surgical intervention to control bleeding or address organ injuries.

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An indication of gastrointestinal issues

Normal abdominal response to injury

Fatigue or stress in the patient

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