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How Do Doctors Diagnose A Ruptured Spleen
CAT Scan: Rupture of the spleen most commonly occurs after blunt abdominal trauma such as a car crash. Most ers will perform a ct of the abdomen when there is suspicion of abdominal trauma; these scans are very effective in the dx. If a patient is too unstable for a ct scan, an ultrasound may be performed at bedside leading to this diagnosis, yet this test is less specific for diagnosing splenic injury. ...Read moreSee 1 more doctor answer
Potentially...Very: The spleen is a very vascular organ and, though well protected by the rib cage, is susceptible to blunt trauma. Minor injuries may usually be managed by "watchful waiting", but rupture can lead to life-threatening bleeding. In the past, this meant splenectomy. Nowadays, we can often stop the bleeding nonsurgically by internally closing off the bleeding vessels via interventional radiology. ...Read more
How badly ruptured: If you are not actively bleeding or are only minimally bleeding it can be watched and left in place. If bleeding is heavy or uncontrollable it will be removed if you are an adult or if you are a child an attempt to repair the spleen may be undertaken. ...Read moreSee 1 more doctor answer
Painful: The spleen lies just under the diaphragm on the left side so when it ruptures the blood gets under the diaphragm causing significant pain with each breath and sometimes into the left shoulder blade area additionaly blood will run down left side causing pain along left side even into pelvis. It is usually very painful. ...Read more
Splenic injury: Splenic rupture is rupture of the spleen capsule. The spleen is located in the left upper abdominal area. The symptoms can range from left upper abdominal pain to shoulder pain and pleuritic chest pain. In advanced situations tachycardia and hypotension will develop as signs of shock. I hope this is of help. ...Read more
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