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Blunt Abdominal Trauma Part 1 Vascuary Injury 3 года назад


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Blunt Abdominal Trauma Part 1 Vascuary Injury

Audience: Medical Interns and Residents: Surgery, Emergency Medicine, Radiology Learning Objectives: Differentiate pseudoaneurysm from active extravasation Recommend the next step in management based on key imaging features Summary: Pseudoaneurysm -Follows arterial blood pool -Does not change shape Active Extravasation -Remains dense despite some degree of dilution -Expands or pools Is the patient hemodynamically stable after resuscitation? -Attempt to manage non-operatively -CT with arterial, portal venous, and delayed phase Is there pseudoanuerysm or active extravasation? -Treat vascular injuries with angiography Higher grade injuries don’t always need surgery, but -Greater chance of delayed complications -Consider Follow-up imaging in 48 to 72 hours

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