Clinical Case: Julie Mackenzie's Cough
 
Symptoms & History

Physical Findings

Stop & Think

Lab and X-Ray

Differential Diagnosis

The Disease

Treatment

Conclusions

Quiz & Evaluation

 Blunt force abdominal injuries may not always be immediately apparent.
 
Abdominal blunt force, such as a punch with a fist, may lead to:
  • Lacerated liver or spleen, which would lead almost immediately to hemorrhagic shock.
  • Contusion to bowel, may be subtle.
  • Duodenum and small bowel are especially susceptible because of proximity to spine.
    • Contused portion of bowel will break down.
    • May lead to peritonitis, several days after injury.
    • Here's an example. If you don't see the problem, roll the cursor over the image

Peritonitis

What about X-Ray findings, our patient has healed fractures?                         Back

  

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