Splenic trauma: Difference between revisions
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==Clinical Features== | ==Clinical Features== | ||
*LUQ pain | |||
*Signs of shock | |||
*Hypotension | |||
==Differential Diagnosis== | ==Differential Diagnosis== | ||
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==Diagnosis== | ==Diagnosis== | ||
*FAST to search for free floating fluid | *FAST to search for free floating fluid | ||
*CT scan | *CT scan if hemodynamiclly stable | ||
*Exploratory laparotomy in unstable pts | *Exploratory laparotomy in unstable pts | ||
Revision as of 23:35, 19 July 2015
Background
- Most commonly injured visceral organ in blunt trauma
Clinical Features
- LUQ pain
- Signs of shock
- Hypotension
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 floating fluid
- CT scan if hemodynamiclly stable
- Exploratory laparotomy in unstable pts
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