trauma case study

Jun 21st, 2015
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The abdomen can be injured in many types of trauma; injury may be confined to the abdomen or be accompanied by severe, multisystem trauma.

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IntroductionThe abdomen can be injured in many types of trauma; injury may be confined to the abdomen or be accompanied by severe, multisystem trauma. The nature and severity of abdominal injuries vary widely depending on the mechanism and forces involved, thus generalizations about mortality and need for operative repair tend to be misleading.Injuries are often categorized by type of structure that is damaged:Abdominal wall Solid organ (liver, spleen, pancreas, kidneys)Hollow viscus (stomach, small intestine, colon, ureters, bladder)VasculatureSome specific injuries due to abdominal trauma are discussed elsewhere, including those to the liver, spleen and GU tract.EtiologyAbdominal trauma is typically also categorized by mechanism of injury: BluntPenetratingBlunt trauma may involve a direct blow (eg, kick), impact with an object (eg, fall on bicycle handlebars), or sudden deceleration (eg, fall from a height, vehicle crash). The spleen is the organ damaged most commonly, followed by the liver and a hollow viscus (typically the small intestine).Penetrating injuries may or may not penetrate peritoneum and if they do, may not cause organ injury. Stab wounds are less likely than gunshot wounds to damage intra-abdominal structures; in both, any structure can be affected. Penetrating wounds to the lower chest may cross the diaphragm and damage abdominal structures.Classification: Injury scales have been devised that classify organ injury severity from grade 1 (min

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