Imaging in blunt abdominal trauma Sunil Kumar Abdominal trauma management Varun Kumar Varshney Abdominal trauma : an overview. ul li Rectal findings for gross blood - pelvic fracture prostate position high riding prostate urethral injury sphincter tone neurologic status pulses for absence or asymmetry of other associated injuries.e. No Downloads, no notes for slide. The bruising on the left breast is from the shoulder belt and the low bruising to the abdominal wall is from the lapbelt. Radiograph cont displacement of stomach splenic hematoma of Psoas shadow retroperitoneal bleeding bone fracture bladder/urethral/rectal injury vertebra ureter injury / retroperitoneal hematoma /li /ul. Post operative complications developed in 5 cases and deaths occurred in 7 cases mainly due to associated extra-abdominal injuries, poor pre-operative general condition, delayed diagnosis and management. Diagnostic strategy cont ul li Abd. FOR further testing haemorrhagic shock chest or pelvic injuries tenderness pain response due to level of consciousness pain to perform serial examination /li /ul. Solid organ abdominal injuries. Supervision with sophisticated infrastructure and quick action significantly reduces mortality.
Blunt trauma abdomen: a study of 63 cases. Gupta S(1 Talwar S, Sharma RK, Gupta P, Goyal A, Prasad.
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Table Diagnostic Modalities in Abdominal Trauma peritoneal lavage ultrasound CT scan Use Records intra-abdominal haemorrhage in stable/unstable trauma Reveals intra-abdominal haemorrhage in stable and unstable in patients Reveals organ of injury and extent of blunt/penetrating abdominal trauma in stable patients Contra-indications Urgent demand for. Childhood trauma ul li Blunt trauma secondary to MVAs, falls or child abuse is primarily responsible for 90 of childhood injuries. We conclude that a multipronged approach towards early diagnosis and vigorous management should be adopted to reduce the morbidity and mortality in patients with blunt abdominal trauma. Diagnostic strategy ul li Abd. Risks associated with contrast media presence of hemoperitoneum in minutes time to laparotomy adjunct during multiple casualty disasters examination can detect ongoing hemorrhage pulseless electrical activity from extreme hypotension pregnant trauma patients, determines gestational age and fetal viability /li /ul. J Trauma 29:242, 1999. Mechanisms OF injury ul li crushing application of a blunt force to the abdomen decelerations apply a shearing force across organs with fixed attachments intraluminal pressure by abdominal compression accurately in hollow organs can lead to rupture of bony areas by blunt trauma may generate. Diagnostic strategy cont ul li Chest radiograph left/right hemidiaphragm hematoma. Gruessner B, Mentges B, Duber C, et al : Sonography versus peritoneal lavage in blunt abdominal trauma. Initial assessment ul li Whether the patient is haemodynamically unstable priorities protocol : clinical examination to evaluate ABC along with cardiovascular status jehovah's witnesses essays scribd with blood pressure and pulse measurement.