Ruptured spleen

Summary of Ruptured spleen
A splenic injury, which includes a ruptured spleen, can be caused by trauma. In minor injuries with little bleeding, there may be abdominal pain, tenderness in the epigastrium and pain in the left flank. Often there is a sharp pain in the left shoulder, known as Kehr's sign. Non-traumatic causes are less common and include infectious diseases, medical procedures such as colonoscopy, hematological diseases, medications, and pregnancy. In less than one percent of cases of infectious mononucleosis splenic rupture may occur.

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Ruptured spleen

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Ruptured spleen

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Most common cause of ruptured spleen is blunt (area) trauma.

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USMLE® Step 1 style questions USMLE

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An intoxicated 50-year-old white male is brought to the emergency department after the car he was driving hit a telephone pole. He has a fracture of the femur, and is confused and uncooperative. His pulse rate is 120 beats/min, his blood pressure is 80/40 mmHg, and his skin is clammy. Initial physical examination of his abdomen does not indicate significant intra-abdominal injury. What is the next best step to determine the need for surgical management?