Splenic trauma: Difference between revisions
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*Signs of shock | *Signs of shock | ||
*Hypotension | *Hypotension | ||
*Lower rib pain | |||
==Differential Diagnosis== | ==Differential Diagnosis== | ||
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*CT scan | *CT scan | ||
*Exploratory laparotomy in unstable pts | *Exploratory laparotomy in unstable pts | ||
*DPL | |||
==Management== | ==Management== | ||
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==References== | ==References== | ||
*Rosens | |||
<References/> | <References/> | ||
[[Category:Trauma]] | [[Category:Trauma]] | ||
Revision as of 23:22, 21 July 2015
Background
- Most commonly injured visceral organ in blunt trauma
Clinical Features
- LUQ pain
- Signs of shock
- Hypotension
- Lower rib pain
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
Diagnosis
- FAST to search for free fluid
- CT scan
- Exploratory laparotomy in unstable pts
- DPL
Management
- Nonoperative management of splenic injuries has failure rate of 10-15%
- Some advocate nonoperative management only if <55yr and CT injury grade less than IV
Disposition
See Also
References
- Rosens