Liver injury: Difference between revisions
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==Workup== | ==Workup== | ||
*Radiography to evaluate severity, determine best imagery | |||
**CT | |||
**MRI | |||
**X-ray | |||
*FAST Ultrasound | |||
*DPL | |||
**>10mL of blood = positive | |||
*Wound exploration if applicable | |||
==Management== | ==Management== | ||
*Nonoperative management is successful in >90% of pts who are hemodynamically stable | *Nonoperative management is successful in >90% of pts who are hemodynamically stable | ||
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==Sources== | ==Sources== | ||
Tintinalli's | *Tintinalli's | ||
Rosen's | *Rosen's | ||
<references/> | <references/> | ||
[[Category:Trauma]] | [[Category:Trauma]] | ||
Revision as of 15:41, 19 July 2015
Background
- Occurs in 5% of all traumas
- Most common abdominal injury
Clinical Features
Differential Diagnosis
Abdominal Trauma
- Abdominal compartment syndrome
- Diaphragmatic trauma
- Duodenal hematoma
- Genitourinary trauma
- Liver trauma
- Pelvic fractures
- Retroperitoneal hemorrhage
- Renal trauma
- Splenic trauma
- Trauma in pregnancy
- Ureter trauma
Workup
- Radiography to evaluate severity, determine best imagery
- CT
- MRI
- X-ray
- FAST Ultrasound
- DPL
- >10mL of blood = positive
- Wound exploration if applicable
Management
- Nonoperative management is successful in >90% of pts who are hemodynamically stable
- Low-grade injuries (grades I–III) can almost always be managed without surgery
- Higher-grade injuries commonly fail nonoperative therapy.
- Consider angiographic embolization if:
- Large amount of hemoperitoneum
- Vascular injury (contrast blush) on CT
Disposition
See Also
Sources
- Tintinalli's
- Rosen's