A 15-year-old male was involved in a fight. He is complaining of left upper quadrant pain. His heart rate is 90 beats / min and his blood pressure is 110/71 mmHg and has localized tenderness in the left upper quadrant. His hemoglobin is within normal range but abdominal CT scan showed grade Ⅱ splenic injury with free fluid. What would be your management?
سؤال مجاني 6 من 10 اليوم · اشترك وكمّل بدون حد
اعرض الإجابة
الإجابة والشرح
ادخل لحسابك عشان نحفظ إجاباتك ونوريك أخطاءك.
الإجابة: A. Bed rest and close observation in the intensive care unit
The patient is haemodynamically stable (HR 90, BP 110/71, normal Hb) with a low-grade (II) splenic injury on CT. Such injuries are managed non-operatively, with close observation and monitoring. Laparotomy (splenorrhaphy or splenectomy) is kept for patients who become unstable. The CT has already shown the injury, so diagnostic laparoscopy or an angiogram is not needed in a stable grade II injury without a blush.
- المصدر
- MCQs and EMQs in Surgery- Bailey & Love Companion Guide.pdf · p. 201
MCQs and EMQs in Surgery- Bailey & Love Companion Guide.pdf · p. 95 - المحاضرة
- Trauma · General Surgery · Module D
- ظهر في
- Surgery QB (Module D) p. 231 Q70