Justice
Forum Fanatic
Topics: 100
Posts: 1,907
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Depends upon whether the Pt is stable or not... If stable, do CT and if see damage/bleeding, go for laparotomy; if unstable - do lavage, and if positive, go for laparotomy
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| lakshya_0_7
Forum Elite
Topics: 23
Posts: 280
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guarding rigidity and tenderness.........explore...no matter what the BP/pulse is...
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| starcraftbw
Forum Senior
Topics: 13
Posts: 166
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I agree with justice.....but if the pt is unstable --> straigth to ex-lap....no need to do any tests
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| dermatology
Forum Elite
Topics: 30
Posts: 293
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but if patient has obvious signs of peritonitis ( guarding rigidity tenderness ) why waste time in all investigations even if he is stable ??????
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| njcjzy
Forum Guru
Topics: 16
Posts: 737
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In patients with obvious signs of peritonitis and/or hemodynamic instability after blunt abdominal trauma, an exploratory laparotomy is required and should not be delayed with imaging process.
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| madoo
Forum Newbie
Topics: 2
Posts: 32
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i agree 100% with Justice
if the patient is stable go for CT scan "give an idea where the blood comes from and how bad is the injury is , is there liver or kidney or spleen injuries and if they require surgery or dont" as patients with minor internal injuries who respond to to fluid resuscitation may not require surgery
if the patient is unstable go for diagnostic peritoneal lavage or sonogram in the ER or in the operating room and if positive go for surgical exploration
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