CCS Splenic Rupture

From WikiMD free medical encyclopedia
Jump to: navigation, search

diagnosis : splenic hematoma

HPI 23 y/o male after MVA. step 1 ABC, PE focus

Labs:serum glucose and rapid bedside glucose determination, CBC, serum chemistries, amylase, LFT's, UA, coagulation studies, blood type and match, abg, blood ethanol, urine drug screens.

Bedside u/s, DPL(for unstable), CT(for stable) and emergent surgeon consult.Chest x-ray, supine & erect abdomen x-ray.

Vital Signs, Cardiac, and BP monitoring on bed side.

Foley catheter and Urine output check.

NPO, Ringer's lactate solution I.V before results from Lab.

Transfer to ICU if patient is not stable.

-Good work up I would add surgical consult for repair also prefer NS as IVF rather than LR because in case he develops rhabdo. (MVA) NS is fluid of choice.

WikiMD Sponsors - W8MD Weight Loss, Sleep and MedSpa Centers

Pronounced weightMD, our state of the art W8MD weight loss, sleep, holistic IV nutrition and aesthetic medicine programs can help you not only to lose weight, and sleep better but also look your best! Since its inception in 2011, W8MD’s insurance physician weight loss program has successfully helped thousands of patients.

W8MD Weight Loss

W8MD’s Physician weight loss is unique in many ways with a comprehensive multidisciplinary approach to weight loss. Weight Loss Success Stories....

W8MD Sleep Services

Sleep medicine program uses state of the art technology to diagnose and treat over 80 different sleep disorders. W8MD Sleep Services…

W8MD Medical Aesthetic Services

Medical aesthetic program offers a wide variety of advanced laser skin treatments including oxygen super facials, photofacials and Affordable Botox. W8MD Aesthetic Services…

IM and IV nutrition therapy includes booster shots for B12, vitamin B complex, Vitamin C, Detox treatments and IV nutrition therapy. W8MD IV Nutrition…

W8MD weight loss | Philadelphia medical weight loss | NYC medical weight loss | NJ medical weight loss

W8MD Weight Loss, Sleep & Medical Aesthetics

Intro to W8MD Weight Loss, Sleep & Medical Aesthetics

Disclaimer: The entire contents of WIKIMD.ORG are for informational purposes only and do not render medical advice or professional services. If you have a medical emergency, you should CALL 911 immediately! Given the nature of the wiki, the information provided may not be accurate and or incorrect. Use the information on this wiki at your own risk! See full Disclaimers.WikiMD is supported by W8MD Weight loss, Poly-Tech Sleep & Medical Aesthetic Centers of America.