75: Analysis of Urobilinogen and Urine Bilirubin for Intra-abdominal Injury in Blunt Trauma Patients

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Analysis of Urobilinogen and Urine Bilirubin for Intra-Abdominal Injury in Blunt Trauma Patients

OBJECTIVE To determine the point prevalence of urine bilirubin, urine hemoglobin and urobilinogen in blunt trauma patients, and to evaluate its utility as a screening tool for intra-abdominal injury. METHODS Data analysis of 986 consecutive trauma patients of which 698 were adult blunt trauma patients. Five-hundred sixteen subjects had a urinalysis and a CT scan of the abdomen/pelvis or explo...

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The Utility of Ultrasound and Laboratory Data for Predicting Intra-abdominal Injury among Children with Blunt Abdominal Trauma

Background: Children with blunt abdominal trauma (BAT) can be risk stratified for intra-abdominal injury (IAI) through a combination of readily accessible clinical variables. The aim of this study was to identify ultrasound and laboratory studies that accurately identify IAI while limiting unnecessary CT-scan among children without injury. Materials and Methods We conducted a prospective, obse...

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Correlating abdominal pain and intra-abdominal injury in patients with blunt abdominal trauma

background A thorough history and physical examination in patients with blunt abdominal trauma (BAT) is important to safely exclude clinically significant intra-abdominal injury (IAI). We seek to evaluate a correlation between self-reported abdominal pain, abdominal tenderness on examination and IAI discovered on CT or during exploratory laparotomy. Methods This retrospective analysis assessed ...

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Predictors of "occult" intra-abdominal injuries in blunt trauma patients.

OBJECTIVE to assess predictors of intra-abdominal injuries in blunt trauma patients admitted without abdominal pain or abnormalities on the abdomen physical examination. METHODS We conducted a retrospective analysis of trauma registry data, including adult blunt trauma patients admitted from 2008 to 2010 who sustained no abdominal pain or abnormalities on physical examination of the abdomen a...

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Comparison of Intra-abdominal Pressure Measurement and Physical Exam for Diagnosis of Surgery Indication in Patients with Abdominal Compartment Syndrome due to Blunt Trauma

Background & Aims: Increase in abdominal pressure can lead to the so-called intra–abdominal compartment syndrome (ACS) that is often observed during the first 24 hours after sever abdominal trauma and surgery. Measurement of the intra abdominal pressure through the bladder as a non-invasive measurement can provide a quick and accurate assessment of abdominal pressure changes. This study was per...

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ژورنال

عنوان ژورنال: Annals of Emergency Medicine

سال: 2008

ISSN: 0196-0644

DOI: 10.1016/j.annemergmed.2008.01.042