What does the International Society of Sports Medicine classify as part of the
abdominal region? - Answer: Skin (lower torso), Digestive, Abdominal, and Pelvic
Vessels, Lumbar Spine (vertebrae and cord).
Is the hip and pelvic bone structure part of the abdominal region? - Answer No.
They are part of the extremities.
What phrases can be used to describe "massive" organ lacerations? - ANSWER
Avulsion, complex, rupture, tissue loss, deep.
Define the "avulsion" of an organ. - ANSWER It occurs when an organ is
inadvertently or forcibly separated from its vascular system.
Define "No Perforation" of an organ. - ANSWER A half-thickness laceration, like a
serosal tear. IE. Outer layer
Define the "perforation" of an organ. - ANSWER A full-thickness laceration, but
not a complete transaction
Define the "Transition" of an organ. - ANSWER Two organ segments are
completely separated.
When coding an organ, which takes precedence: OIS or clinical description? -
ANSWER Clinical Description.
When might retroperitoneal haemorrhage be coded? - ANSWER When it is
determined that the damage is not related to another, code it. IE not related to
When can a vascular injury be coded? - ANSWER (1) If they are isolated injuries,
or (2) They are not included in an organ injury description.
How is a duodenal-jejunal junction damage coded? - ANSWER Code for the
jejunum.
Can a contusion and a laceration be classified to the same organ? - ANSWER:
Depends. If the contusion is associated with a laceration, the answer is no. If they
are unrelated, yes.
Can fetal demise be classified as an injury? - Answer No. It is the outcome of an
abdominal injury, rather than the injury itself.
How is the Abdominal Compartment Syndrome coded? - ANSWER It isn't. It is the
result of an injury.
How are duct damage categorized across shared organs? - ANSWER Code to one
organ, not both.
What is the serous membrane of an organ? - Answer: Peritoneum.
What constitutes a "major" skin laceration in the abdomen? - Answer: >20 cm and
into the subcutaneous tissue.
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