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SurgSpace

06 / Trauma & Acute Care Surgery · clerkship

Handlebars to the left flank

  1. ED
  2. Investigations
  3. Pre-Op
  4. OR
  5. Ward
  6. Debrief

Primary survey

Airway clear, chest equal, abdomen tender in the left upper quadrant with guarding. Heart rate 118, systolic 98, responding transiently to 500 mL of fluid. He complains of pain in the tip of his left shoulder.

Open in 3D: the spleen and upper abdominal viscera

The left shoulder tip pain indicates:

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