The Southern Medical Journal (SMJ) is the official, peer-reviewed journal of the Southern Medical Association. It has a multidisciplinary and inter-professional focus that covers a broad range of topics relevant to physicians and other healthcare specialists.

SMJ // Article

Article

Blunt Abdominal Trauma A study of Relationship Between Diagnosis and Outcome

Authors: WAHEED AHMAD MD, ERCS, HIRAM C. POLK JR. MD.

Abstract

AbstractSixty-three cases are reviewed of patients who underwent consecutive laparotomies for blunt abdominal trauma. Ordinary physical examination is extremely precise in the evaluation of the patient with blunt abdominal injury who is conscious and responsive. However, we recommend that individuals with equivocal signs and less than optimal levels of consciousness should undergo diagnostic peritoneal lavage. If peritoneal signs subsequently develop, a negative lavage should be ignored and laparotomy promptly performed.

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References