CCS Splenic Rupture
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.
Popular: Usmle Step 3 CCS | Usmle Step 3 CCS cases part 2 - over 70 solved cases
Asters Notes > Asters Notes I | Asters Notes II | Asters Notes III
Other resources: Usmle Q Banks | Residency Wiki
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