Retroperitoneal hemorrhage - Revision history

Rossdonaldson1 at 21:17, 17 March 2021

2021-03-17T21:17:45Z

← Revisión anterior		Revisión del 21:17 17 mar 2021
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	==Background==		==Background==
			[[File:PMC5265200 13244 2016 536 Fig1 HTML.png\|thumb\|Perinephric space with exaggerated pararenal space to show retroperitoneal structures. Perinephric bridging septa are seen between the left kidney and the adjacent renal fascia.]]
	[[File:Blausen 0592 KidneyAnatomy 01.png\|thumb\|Renal anatomy.]]		[[File:Blausen 0592 KidneyAnatomy 01.png\|thumb\|Renal anatomy.]]
	[[File:PMC5265200 13244 2016 536 Fig1 HTML.png\|thumb\|Perinephric space with exaggerated pararenal space to show retroperitoneal structures. Perinephric bridging septa are seen between the left kidney and the adjacent renal fascia.]]
	*Bleeding into retroperitoneal space		*Bleeding into retroperitoneal space
	*Difficult to diagnose given poor sensitivity of physical exam findings (Cullens, Grey-Turners)		*Difficult to diagnose given poor sensitivity of physical exam findings (Cullens, Grey-Turners)

2021-03-17T21:17:11Z

← Revisión anterior		Revisión del 21:17 17 mar 2021
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	===Classification of traumatic retroperitoneal hemorrhage<ref>FELICIANO, D. V. (1990) ‘Management of Traumatic Retroperitoneal Hematoma’, Annals of Surgery, 211(2), pp. 109–123. </ref>===		===Classification of traumatic retroperitoneal hemorrhage<ref>FELICIANO, D. V. (1990) ‘Management of Traumatic Retroperitoneal Hematoma’, Annals of Surgery, 211(2), pp. 109–123. </ref>===
	[[File:Retroperitoneal zones.jpg\|thumb]]		[[File:Retroperitoneal zones.jpg\|thumb\|Retroperitoneal zones]]
	*Zone 1: Central		*Zone 1: Central
	**Pancreaticoduodenal injuries, major vascular injury		**Pancreaticoduodenal injuries, major vascular injury

2021-03-17T21:16:09Z

Background

← Revisión anterior		Revisión del 21:16 17 mar 2021
Línea 1:		Línea 1:
	==Background==		==Background==
			[[File:Blausen 0592 KidneyAnatomy 01.png\|thumb\|Renal anatomy.]]
			[[File:PMC5265200 13244 2016 536 Fig1 HTML.png\|thumb\|Perinephric space with exaggerated pararenal space to show retroperitoneal structures. Perinephric bridging septa are seen between the left kidney and the adjacent renal fascia.]]
	*Bleeding into retroperitoneal space		*Bleeding into retroperitoneal space
	*Difficult to diagnose given poor sensitivity of physical exam findings (Cullens, Grey-Turners)		*Difficult to diagnose given poor sensitivity of physical exam findings (Cullens, Grey-Turners)

2019-06-13T15:49:41Z

Evaluation

← Revisión anterior		Revisión del 15:49 13 jun 2019
Línea 24:		Línea 24:

	==Evaluation==		==Evaluation==
			===Workup===
	[[File:Abdotrauma.png\|thumb\|Right kidney contusion (open arrow) and blood surrounding the kidney (closed arrow).]]		[[File:Abdotrauma.png\|thumb\|Right kidney contusion (open arrow) and blood surrounding the kidney (closed arrow).]]
	[[File:Kidneyhematoma.png\|thumb\|Left kidney injury (open arrow) with retropeitoneal hematoma (closed arrow).]]		[[File:Kidneyhematoma.png\|thumb\|Left kidney injury (open arrow) with retropeitoneal hematoma (closed arrow).]]
	~~===Workup===~~
	~~[[File:Kidneyhematoma.png\|thumb\|A large retropeitoneal hematoma (closed arrow) from left kidney injury (open arrow).]]~~
	''Must have high clinical suspicion to make diagnosis''		''Must have high clinical suspicion to make diagnosis''
	*CT scan abdomen/pelvis		*CT scan abdomen/pelvis

2019-06-13T15:49:05Z

Evaluation

← Revisión anterior		Revisión del 15:49 13 jun 2019
Línea 24:		Línea 24:

	==Evaluation==		==Evaluation==
			[[File:Abdotrauma.png\|thumb\|Right kidney contusion (open arrow) and blood surrounding the kidney (closed arrow).]]
	[[File:Kidneyhematoma.png\|thumb\|Left kidney injury (open arrow) with retropeitoneal hematoma (closed arrow).]]		[[File:Kidneyhematoma.png\|thumb\|Left kidney injury (open arrow) with retropeitoneal hematoma (closed arrow).]]
	~~[[File:Abdotrauma.png\|thumb\|Right kidney contusion (open arrow) and blood surrounding the kidney (closed arrow).]]~~
	===Workup===		===Workup===
	[[File:Kidneyhematoma.png\|thumb\|A large retropeitoneal hematoma (closed arrow) from left kidney injury (open arrow).]]		[[File:Kidneyhematoma.png\|thumb\|A large retropeitoneal hematoma (closed arrow) from left kidney injury (open arrow).]]

2019-06-13T15:48:51Z

Evaluation

← Revisión anterior		Revisión del 15:48 13 jun 2019
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	==Evaluation==		==Evaluation==
	[[File:Kidneyhematoma.png\|thumb\|Left kidney injury (open arrow) with retropeitoneal hematoma (closed arrow).]]		[[File:Kidneyhematoma.png\|thumb\|Left kidney injury (open arrow) with retropeitoneal hematoma (closed arrow).]]
			[[File:Abdotrauma.png\|thumb\|Right kidney contusion (open arrow) and blood surrounding the kidney (closed arrow).]]
	===Workup===		===Workup===
	[[File:Kidneyhematoma.png\|thumb\|A large retropeitoneal hematoma (closed arrow) from left kidney injury (open arrow).]]		[[File:Kidneyhematoma.png\|thumb\|A large retropeitoneal hematoma (closed arrow) from left kidney injury (open arrow).]]

2019-06-13T15:46:41Z

Evaluation

← Revisión anterior		Revisión del 15:46 13 jun 2019
Línea 24:		Línea 24:

	==Evaluation==		==Evaluation==
			[[File:Kidneyhematoma.png\|thumb\|Left kidney injury (open arrow) with retropeitoneal hematoma (closed arrow).]]
	===Workup===		===Workup===
	[[File:Kidneyhematoma.png\|thumb\|A large retropeitoneal hematoma (closed arrow) from left kidney injury (open arrow).]]		[[File:Kidneyhematoma.png\|thumb\|A large retropeitoneal hematoma (closed arrow) from left kidney injury (open arrow).]]

2019-06-13T15:37:11Z

Evaluation

← Revisión anterior		Revisión del 15:37 13 jun 2019
Línea 24:		Línea 24:

	==Evaluation==		==Evaluation==
			===Workup===
			[[File:Kidneyhematoma.png\|thumb\|A large retropeitoneal hematoma (closed arrow) from left kidney injury (open arrow).]]
	''Must have high clinical suspicion to make diagnosis''		''Must have high clinical suspicion to make diagnosis''
	*CT scan abdomen/pelvis		*CT scan abdomen/pelvis
	*Consider [[Aortic ultrasound\| ultrasound for AAA]]		*Consider [[Aortic ultrasound\| ultrasound for AAA]]
	*FAST and DPL do not evaluate retroperitoneal space		*FAST and DPL do not evaluate retroperitoneal space

	===Classification of traumatic retroperitoneal hemorrhage<ref>FELICIANO, D. V. (1990) ‘Management of Traumatic Retroperitoneal Hematoma’, Annals of Surgery, 211(2), pp. 109–123. </ref>===		===Classification of traumatic retroperitoneal hemorrhage<ref>FELICIANO, D. V. (1990) ‘Management of Traumatic Retroperitoneal Hematoma’, Annals of Surgery, 211(2), pp. 109–123. </ref>===
	[[File:Retroperitoneal zones.jpg\|thumb]]		[[File:Retroperitoneal zones.jpg\|thumb]]

2017-11-23T12:29:40Z

Management

← Revisión anterior		Revisión del 12:29 23 nov 2017
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	==Management==		==Management==
	*Address A, B, C's		*Address A, B, C's
	*Resuscitation with [[blood]] ~~products~~		*Resuscitation with [[blood products]]
	*Reverse [[coagulopathy]]		*Reverse [[coagulopathy]]
	**[[Warfarin (Coumadin) Reversal]]		**[[Warfarin (Coumadin) Reversal]]

2017-11-23T12:29:13Z

Management

← Revisión anterior		Revisión del 12:29 23 nov 2017
Línea 39:		Línea 39:
	==Management==		==Management==
	*Address A, B, C's		*Address A, B, C's
	*Resuscitation with blood products		*Resuscitation with [[blood]] products
	*Reverse [[coagulopathy]]		*Reverse [[coagulopathy]]
	**[[Warfarin (Coumadin) Reversal]]		**[[Warfarin (Coumadin) Reversal]]