Retroperitoneal Organs
Physical Exam Findings
Symptoms 1. Most common presenting complaint = abdominal pain; then leg/hip pain; back pain 2. Can have femoral neuropathy, iliopsoas spasm Traumatic RPH
Spontaneous RPH
Management - controversial Zone I - concern for vascular injury - likely OR Zone II & III - ?pulsatile, ?expanding - determines intervention Packing vs arterial embolization - majority of traumatic RPH are venous in nature CORE CONCEPTS: - RPH is a rare diagnosis with significant mortality - see keep on your differential! - Undress your adult patients too - look for Fox's sign, etc - Most common presenting symptom: abdominal pain, then leg or back pain - Seen more commonly in elderly and those on anticoagulation, but 1/3 of pts who presented with spontaneous RPH were not on anticoagulation
1 Comment
12/26/2019 02:45:39
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