Diferencia entre revisiones de «Liver injury»
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{{Abdominal trauma DDX}} | {{Abdominal trauma DDX}} | ||
== | ==Diagnosis== | ||
*CT | |||
*FAST Ultrasound | *FAST Ultrasound | ||
*Wound exploration if applicable | *Wound exploration if applicable | ||
==Management== | ==Management== | ||
*Nonoperative management is successful in >90% of pts who are hemodynamically stable | *Nonoperative management is successful in >90% of pts who are hemodynamically stable | ||
Revisión del 14:32 22 jul 2015
Background
- Occurs in 5% of all traumas
- Most common abdominal injury
Clinical Features
Differential Diagnosis
Abdominal Trauma
- Abdominal compartment syndrome
- Diaphragmatic trauma
- Duodenal hematoma
- Genitourinary trauma
- Liver trauma
- Pelvic fractures
- Retroperitoneal hemorrhage
- Renal trauma
- Splenic trauma
- Trauma in pregnancy
- Ureter trauma
Diagnosis
- CT
- FAST Ultrasound
- Wound exploration if applicable
Management
- Nonoperative management is successful in >90% of pts who are hemodynamically stable
- Low-grade injuries (grades I–III) can almost always be managed without surgery
- Higher-grade injuries commonly fail nonoperative therapy.
- Consider angiographic embolization if:
- Large amount of hemoperitoneum
- Vascular injury (contrast blush) on CT
Disposition
See Also
Sources
- Tintinalli's
- Rosen's