A 25yr/M pt, C/O- sever pain in abdomen since 4 hrs, H/O - RTA 5 hrs ago, Suggest treatment

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RTA with severe abdominal pain should not be taken lightly. There may be liver , spleen or other intraabdominal visceral injury . Get an urgent ultrasonography of abdomen and X- Ray abdomen standing for gas under right dome of diaphragm to exclude visceral perforation and liver or splenic injury. Monitor B.P , pulse , urine output after Foley's catheterization. Start with NPO , RT suction , IV fluids and Ultrasonography suggests hemoperitoneum.arrange blood and prepare for exploratory laparotomy
Go for BP and pulse X ray abd erect Per abd palpation USG fast scan IV fluids Foleys catherization IV antibiotics Pain killers If nothing comes in X ray , fast scan , per bad palpation patient can be discharged with conservative treatment and muscle relaxants.
First Stabilise pt.if Hemodynamicaly unstable. Looks Blunt Injury Abdomen. USG/CT ABD.N GET OTHER INVSTIGATIOND N XRAY ABD. MANAGEMENT WILL BE DECIDED AFTER WORK UP. YOU MAY NEED TO TAP TOR/O HEMOPERITONEUM. POST INVESTIGATIONS FINDINGS TO ADVICE.
Check vital single puls BP.oirentatipn Start I v fluids Keep.nothing by mouth Iv meropenum Iv metrogyl Do.cbc usg and See haemoperitoneum Injury to lbr.kidney intestine Spleen X Ryan chest Plan BT LAPROTOMY sos

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