Palpate anal sphincter for presence of absence of

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palpate anal sphincter for presence of absence of tone assess rectum for presence of blood Descending Thoracic Aorta partially fixed to the Left pulmonary artery by the ligamentum arteriosum, at risk for dissection w/ decelerating forces. Most pt. die before arriving to ED Symptoms: chest pain described as “ripping” Duodenum and Jejunum of the small intestine: between these two structures lies the ligament of Treitz if the ligament is stressed at the same time as the pylorus of the stomach closes, the C-loop of the duodenum may sustain an increase in pressure resulting in perforation of the small bowel. Axial loading: when person falls or jumps from a height and lands on his/her feet; the energy impact is on the axial skeleton associated injuries are fractures of the lower extremities and vertebral column axial loading of the head--> cervical spine and head injuries
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