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Splenic rupture.pptx

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Splenic rupture.pptx

  1. 1. Tips on using my ppt. 1. You can freely download, edit, modify and put your name etc. 2. Don’t be concerned about number of slides. Half the slides are blanks except for the title. 3. First show the blank slides (eg. Aetiology ) > Ask students what they already know about ethology of today's topic. > Then show next slide which enumerates aetiologies. 4. At the end rerun the show – show blank> ask questions > show next slide. 5. This will be an ACTIVE LEARNING SESSION x three revisions. 6. Good for self study also. 7. See notes for bibliography.
  2. 2. Spleen Injury
  3. 3. Spleen Injury • Although protected under the bony ribcage, the spleen remains the most commonly affected organ in blunt injury to the abdomen in all age groups.
  4. 4. Spleen Rupture:Etiology
  5. 5. Spleen Rupture:Etiology • Blunt trauma. • Penetrating trauma – – gun shot wounds – knife wounds • Explosive type injuries, as seen in warfare and civilian bombing. • Iatrogenic – Laparotomy – colonoscopy
  6. 6. Spleen Rupture:Etiology • Blunt trauma- • Falls • motor vehicle crashes, • direct blows to the abdomen- • in domestic violence, • leisure • play activities such as bicycling,
  7. 7. Spleen Rupture:Demography
  8. 8. Spleen Rupture:Demography • 25% of blunt trauma patiets.
  9. 9. Pathophysiology
  10. 10. Pathophysiology Splenomegaly • Infectious mononucleosis, • Malaria • Hematologic abnormalities
  11. 11. Clinical Features:Presentation
  12. 12. Clinical Features:Presentation Highly variable • Mild abd. Pain+ shoulder pain (Kehr’s sign) • Peritoneal irritation • Shock
  13. 13. Clinical Features
  14. 14. Clinical Features • History of trauma. • Symptoms • Signs
  15. 15. Clinical Features:Symptoms • Abdominal pain • Shoulder pain • Faintness • Anxiety
  16. 16. Clinical Features:Signs • Cold sweat • Pallor • Tachycardia • Tachypnoea • Abdominal distension • Abdominal Tenderness.
  17. 17. Diagnostic Studies
  18. 18. Diagnostic Studies • DPL-Diagnostic Peritoneal Lavage. • Laboratory investigations. • Imaging studies – X-ray – Abd . USG- FAST – CT – MRI – Nuclear scan • Diagnostic Laparoscopy
  19. 19. Management
  20. 20. Management • Conservative • Operative- Laparotomy • Interventional radiology- Embolisation
  21. 21. Non Operative Therapy
  22. 22. Non Operative Therapy • In stable patients • No other injuries • Intensive monitoring
  23. 23. Operative Therapy
  24. 24. Operative Therapy • Exploratory laparotomy- – Splenectomy – Splenorrhaphy – Partial splenectomy – Meshing
  25. 25. Postsplenectomy complications
  26. 26. Postsplenectomy complications • Leucocytosis • Thrombocytosis • Overwhelming post-splenectomy infection (OPSI) Increased risk of sepsis due to encapsulated organisms- • Streptococcus pneumoniae, • Haemophilus influenzae type B • Neisseria meningitidis types A and C.
  27. 27. Get this ppt in mobile 1. Download Microsoft PowerPoint from play store. 2. Open Google assistant 3. Open Google lens. 4. Scan qr code from next slide.
  28. 28. Get this ppt in mobile
  29. 29. Get my ppt collection • https://www.slideshare.net/drpradeeppande/ edit_my_uploads • https://www.dropbox.com/sh/x600md3cvj8 5woy/AACVMHuQtvHvl_K8ehc3ltkEa?dl =0 • https://www.facebook.com/doctorpradeeppa nde/?ref=pages_you_manage

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  • drpradeeppande@gmail.com
    7697305442

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