Splenic trauma - Revision history

Pooyankhn: /* AAST Criteria */

2024-07-18T23:20:18Z

AAST Criteria

← Revisión anterior		Revisión del 23:20 18 jul 2024
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	*Hilar vascular injury which devascularizes spleen.		*Hilar vascular injury which devascularizes spleen.
	\|}		\|}
			Interactive calculators have been developed that facilitate grading of splenic injuries per AAST guidelines.<ref> [https://radathand.com/radiology-calculators/emergency-radiology-calculator/spleen-trauma-injury-score-aast/ Spleen trauma injury score calculator]- ''Rad At Hand'' </ref>

	==Management==		==Management==

2021-03-17T21:35:59Z

Rossdonaldson1 moved page Splenic injury to Splenic trauma over redirect

← Revisión anterior	Revisión del 21:35 17 mar 2021
(Sin diferencias)

2020-03-28T21:30:48Z

AAST Criteria

← Revisión anterior		Revisión del 21:30 28 mar 2020
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	*OR, intraparenchymal hematoma >5 cm or expanding		*OR, intraparenchymal hematoma >5 cm or expanding
	\|\|		\|\|
	*>3 cm in depth or involving a trabecular vessel.		*Capsular tear, 3 to 10 cm in depth or involving a trabecular vessel.
	\|-		\|-
	\| IV\|\|\|\|		\| IV\|\|\|
			*Subcapsular or central hematoma > 10cm
			\|\|
	*Involving segmental or hilar vessels with major devascularization (i.e. >25% of spleen)		*Involving segmental or hilar vessels with major devascularization (i.e. >25% of spleen)
	\|-		\|-

2019-09-29T19:21:13Z

Clinical Features

← Revisión anterior		Revisión del 19:21 29 sep 2019
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	==Clinical Features==		==Clinical Features==
	*[[LUQ pain]]		*[[LUQ pain]]
	*Signs of shock		*Signs of [[shock]]
	*[[Hypotension]]		*[[Hypotension]]
	*Left lower rib pain		*Left lower [[chest wall pain\|rib pain]]
	*Kehr's sign		*Kehr's sign
	**Acute pain in the tip of the shoulder due to the presence of blood in the peritoneal cavity when a patient's legs are elevated while laying flat.		**Acute pain in the tip of the shoulder due to the presence of blood in the peritoneal cavity when a patient's legs are elevated while laying flat.

2019-06-13T21:18:56Z

Rossdonaldson1 moved page Splenic trauma to Splenic injury

← Revisión anterior	Revisión del 21:18 13 jun 2019
(Sin diferencias)

2019-06-13T21:14:16Z

Disposition

2019-06-13T20:24:26Z

AAST Criteria

← Revisión anterior		Revisión del 20:24 13 jun 2019
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	\| align="center" style="background:#f0f0f0;"\|'''Laceration'''		\| align="center" style="background:#f0f0f0;"\|'''Laceration'''
	\|-		\|-
	\| I\|\|Subcapsular, <10% of surface area\|\|Capsular tear <1 cm in depth into the parenchyma		\| I\|\|
			*Subcapsular, <10% of surface area
			\|\|
			*Capsular tear <1 cm in depth into the parenchyma
	\|-		\|-
	\| II\|\|Subcapsular, 10-50% of surface area\|\|Capsular tear, 1 to 3 cm in depth, but not involving a trabecular vessel		\| II\|\|
			*Subcapsular, 10-50% of surface area
			\|\|
			*Capsular tear, 1 to 3 cm in depth, but not involving a trabecular vessel
	\|-		\|-
	\| III\|\|Subcapsular, >50% of surface area OR expanding,		\| III\|\|
			*Subcapsular, >50% of surface area OR expanding,
	~~ruptured~~ subcapsular or parenchymal hematoma		*Ruptured subcapsular or parenchymal hematoma
			*OR, intraparenchymal hematoma >5 cm or expanding
	OR intraparenchymal hematoma >5 cm or expanding		\|\|
	\|\|>3 cm in depth or involving a trabecular vessel.		*>3 cm in depth or involving a trabecular vessel.
	\|-		\|-
	\| IV\|\|\|\|Involving segmental or hilar vessels with major devascularization (i.e. >25% of spleen)		\| IV\|\|\|\|
			*Involving segmental or hilar vessels with major devascularization (i.e. >25% of spleen)
	\|-		\|-
	\| V\|\|Shattered spleen\|\|Hilar vascular injury which devascularizes spleen.		\| V\|\|
			*Shattered spleen
			\|\|
			*Hilar vascular injury which devascularizes spleen.
	\|}		\|}

2019-06-13T20:16:56Z

Evaluation

← Revisión anterior		Revisión del 20:16 13 jun 2019
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	==Evaluation==		==Evaluation==
	[[File:Milzruptur - Computertomographie axial - pv-Kontrastphase 001.jpg\|thumb\|Traumatic rupture of the spleen on contrast enhanced axial CT (portal venous phase).]]		[[File:Milzruptur - Computertomographie axial - pv-Kontrastphase 001.jpg\|thumb\|Traumatic rupture of the spleen on contrast enhanced axial CT (portal venous phase).]]
			[[File:SpleenHematomaAndBloodAbdoCor.png\|thumb\|Splenic hematoma (red arrow) resulting in free abdominal blood (blue arrow).]]
	{{ATLS abd trauma diagnosis algorithm}}		{{ATLS abd trauma diagnosis algorithm}}

2019-06-13T20:15:25Z

Evaluation

← Revisión anterior		Revisión del 20:15 13 jun 2019
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	==Evaluation==		==Evaluation==
			[[File:Milzruptur - Computertomographie axial - pv-Kontrastphase 001.jpg\|thumb\|Traumatic rupture of the spleen on contrast enhanced axial CT (portal venous phase).]]
	{{ATLS abd trauma diagnosis algorithm}}		{{ATLS abd trauma diagnosis algorithm}}

2019-06-13T20:12:18Z

Evaluation

← Revisión anterior		Revisión del 20:12 13 jun 2019
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	==Evaluation==		==Evaluation==
	{{ATLS ~~abdominal~~ trauma diagnosis algorithm}}		{{ATLS abd trauma diagnosis algorithm}}

	===AAST Criteria===		===AAST Criteria===