Rectus sheath hematoma Quiz: Ace Your Exams

Get ready to dominate your medical and nursing exams by using our dynamic quizzes to elevate your knowledge and increase your confidence. Whether you're gearing up for the USMLE®, COMLEX®, or your next in-class assessment, Osmosis quizzes tackle key topics in pathology, diagnostics, and treatment approaches. By honing in on clinical readiness and decision-making, we make sure the knowledge you gain empowers you both in the classroom and in real-world practice. Jump in and supercharge your exam prep!

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A 36-year-old man is brought to the emergency department after sustaining an injury. While working as a gardener, he lost his balance while trimming a tree and fell off a 10-foot ladder. The patient has chest and abdominal pain. Past medical history is notable for hypertension, type II diabetes mellitus, and von Willebrand disease. Temperature is 37.5°C (99.5°F), blood pressure is 170/85 mmHg, and pulse is 102/min. Physical examination reveals a painful non-pulsatile mass in the left upper abdominal wall with surrounding bruising. The mass remains fixed when the patient contracts the rectus muscles. CT of the abdomen and pelvis with intravenous contrast is obtained. Which of the following findings on CT would indicate a type III (most severe) classification of this patient’s underlying pathology?

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Hematoma confined within the rectus abdominis muscle without extension

Hematoma located within the rectus abdominis muscle and crossing the midline

Large hematoma below the arcuate line extending into the peritoneal space

Hematoma located within the rectus abdominis muscle dissecting along the transversalis fascial plane

Diffuse soft tissue stranding in the abdominal wall