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4 Cards in this Set
- Front
- Back
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What are the grades of splenic injury from blunt trauma?
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Range: Grade I-V
Grade I : laceration < 1cm subcapsular haematoma < 10% Surface area Grade II : Laceration 1-3 cm subcapsular haematoma 10-50% SA Grade III : laceration > 3cm Subcapsular haematoma > 50% SA Ruptured subcapsular / parenchymal haematoma. [Grade I-III usually non-operative Mx] Grade IV : Hilar vascular injury Devascularisation > 25% spleen Grade V : Shattered spleen Hilar injury |
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Mx options of splenic injuries with :
Grade IV-V or Haemodynamic instability |
1. Operative
2. Angiographic embolisation |
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Post-splenectomy complications ?
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1. Systemic
a. Sepsis b. thrombocytosis 2. Local a. Subdiaphragmatic abscess b. Pancreatic pseudocyst c. Stomach fundus necrosis d. Splenic vein thrombosis e. Left pleural effusion |
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Which vaccines are used for
splenectomy patients ? |
Encapsulated organisms
1. Haemophilus influenzae 2. Streptococcus pneumoniae 3. Neisseria meningiditis |
