injuries poisoning
Splenic Injury
Symptoms and Signs of Splenic Injury
The manifestations of major hemorrhage, including hemorrhagic shock, abdominal pain, and distention, are usually clinically obvious. Lesser hemorrhage causes left upper quadrant abdominal pain, which sometimes radiates to the left shoulder. Patients with unexplained left upper quadrant pain, particularly if there is evidence of hypovolemia or shock, should be asked about recent trauma. Maintain a high index of suspicion for splenic injury in patients who have left rib fractures. Ask patients with unexplained left upper quadrant abdominal pain about recent trauma (including contact sports), particularly if there is hypovolemia or shock. 