Question:
What is retroperitoneal hemorrhage?
Author: H KAnswer:
History of trauma Critically ill patients taking anticoagulation or antiplatelet medications Patients with femoral vascular access, a common cause of clinically silent, large retroperitoneal hematoma Symptoms and signs : depend on location of retroperitoneal hemorrhage include femoral nerve palsy Flank and groin ecchymosis late sign of retroperitoneal hemorrhage Cardinal laboratory finding is a falling hematocrit Perform serial hematocrit evaluations and assess coagulation CT scan differentiates among hematoma, tumor, and abscess
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