Physical Exam Findings
1. Most common presenting complaint = abdominal pain; then leg/hip pain; back pain
2. Can have femoral neuropathy, iliopsoas spasm
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
- 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
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