Multi organ trauma
Claim CME CreditPOINT OF CARE INFORMATION
This CME activity consists of the student reviewing the video of the professor reviewing the case as well as the associated DICOM image set related to the case in question.
Learning Objectives
As a result of participation in this activity, participants should be able to:
- Provide improved patient care.
- Greater knowledge of the imaging characteristics of the patient's disease.
- Understand a better approach to interpretation of studies.
Faculty Disclosure
Mehmet Albayram, MD, Ivan Davis, MD, Mariam Hanna, MD, Anthony Mancuso, MD, Ronald Quisling, MD, Dhanashree Rajderkar, MD, Priya Sharma, MD, Roberta Slater, MD and Joann Stamm, MBA have disclosed that they have no relevant financial relationships. No one else is a position to control content have any financial relationship to disclose.
CME Advisory Committee Disclosure:
Conflict of interest information for the CME Advisory Committee members can be found on the following website: https://cme.ufl.edu/disclosure/.
Continuing Medical Education Credit
Accreditation: The University of Florida College of Medicine is accredited by the Accreditation Council for Continuing Medical Education (ACCME) to provide continuing medical education for physicians.
Credit: The University of Florida College of Medicine designates this enduring material for a maximum of 0.5 AMA PRA Category 1 Credits. Physicians should claim only the credit commensurate with the extent of their participation in the activity.
CB1509-Multi organ trauma
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CB1509-Multi organ trauma
Case ReportHistory
Exam
Findings
LOWER THORAX
The lung bases are clear. The heart is normal in size without pericardial effusion.
BONE WINDOWS
There are no fractures. There are no lytic or blastic lesions.
HEPATOBILIARY
There is a gr of the RIGHT lobe of the liver. Theade 1 liver laceration along the inferior aspect of the posterior segment
re is no active contrast extravasation. The gallbladder is partially distended but otherwise normal.
PANCREAS
The pancreas demonstrates homogeneous enhancement without a focal parenchymal lesion or discrete laceration.
SPLEEN
There is a grade 1 splenic laceration along the superior posterior aspect of the spleen. There is no active contrast extravasation.
ADRENALS
The adrenal glands are normal.
KIDNEYS/URETERS
There is a right grade 4 renal laceration involving the lower pole of the kidney with active arterial extravasation of contrast. There is a hematoma inferior to the right kidney with large volume hemoperitoneum. The left kidney is normal.
PELVIC ORGANS/BLADDER
The bladder is partially distended and contains a large filling defect compatible with hemorrhage.
PERITONEUM
There is no intraperitoneal free air present.
There is large volume free fluid within the abdomen which measures above that of simple fluid density compatible with hemoperitoneum.
There are findings of shock including flattening of the IVC.
VESSELS
The aorta is normal in caliber. The IVC is flattened.
GI TRACT
There is no evidence of bowel obstruction, bowel thickening, or mesenteric stranding.
SOFT TISSUES
There is a soft tissue injury overlying the lower pole of the RIGHT kidney consistent with the history of stab wound. Small bubbles of gas are seen along the tract.
Impression
extravasation. There is a large hemoperitoneum and blood clots are seen in the bladder.
Integrity of the right renal collecting system cannot be assessed as delayed imaging was not
performed.
There is a grade 1 liver laceration involving the inferior right hepatic lobe.
There is a grade 1 splenic laceration involving the posterior aspect of the spleen
