Flying Knees And Varices: Complications Of Abdominal Trauma In An Mma Fighter

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Flying Knees And Varices: Complications Of Abdominal Trauma In An Mma Fighter - Page #3

Lab Studies: Hemoglobin 4.4 Hematocrit 14.8 WBC 13.7 Platelets 301 Sodium 132 Potassium 4.1 Chloride 98 Bicarbonate 18 Glucose 127 BUN 21.7 Creatinine 1.03 Protein 7.1 Albumin 3.6 Bilirubin, Tot. 0.7 Bilirubin, Dir. 0.5 Alk phos 61 AST 11 ALT 8 LDH 147 Lipase 207 Calcium 9.1 Troponin Other Studies: Chest Xray: normal Case Photo #1 EKG: sinus tachycardia CT examination of the abdomen and pelvis IMPRESSION: Distortion of the left kidney with a large surrounding subcapsular collection, may reflect seroma, hematoma or urinoma formation, resulting in a Page kidney. Small amount of pelvic ascites. Splenomegaly. The midportion of the splenic vein is not well visualized and is likely compressed or occluded. However, the distal splenic vein entering the portal confluence is patent with contrast opacification. Bilateral pleural effusions with adjacent compressive atelectasis, superimposed pneumonia to be excluded clinically. Case Photo #2 EGD performed showing mild portal hypertensive gastropathy was found in the entire examined stomach. Type 1 isolated gastric varices (IGV1, varices located in the fundus) were found in the gastric fundus, 6 mm in largest diameter, one of which had a red wale sign. Case Photo #3 Case Photo #4 Consultations: Gastroenterology, Urology, and Interventional Radiology Click here to continue. Challenge yourself by writing down a revised, working diagnosis before moving to the next slide.		Back
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