$A case of missed thoracic fracture masquerading as intra-abdominal injury$

A case of missed thoracic fracture masquerading as intra-abdominal injury

Altered mental status in the setting of polytrauma poses a challenge to the emergency team managing the patient. The tendency to miss positive findings in these circumstances increases several folds due to multiple factors such as depressed mental status/intoxication, presence of distracting injurie...

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Main Authors:	Amin O, Nik Azlan Nik Muhamad, Afliza AB
Format:	Article
Language:	English
Published:	Pusat Perubatan Universiti Kebangsaan Malaysia 2017
Online Access:	http://journalarticle.ukm.my/11876/ http://journalarticle.ukm.my/11876/ http://journalarticle.ukm.my/11876/1/18_amin_et_al_pdf_12147.pdf

id	ukm-11876
recordtype	eprints
spelling	ukm-118762018-07-10T04:37:47Z http://journalarticle.ukm.my/11876/ A case of missed thoracic fracture masquerading as intra-abdominal injury Amin O, Nik Azlan Nik Muhamad, Afliza AB, Altered mental status in the setting of polytrauma poses a challenge to the emergency team managing the patient. The tendency to miss positive findings in these circumstances increases several folds due to multiple factors such as depressed mental status/intoxication, presence of distracting injuries and concurrent life-threatening injuries that require more urgent attention. In view of this, NEXUS (National Emergency X-Radiography Utilization Study) criteria of clearing the cervical spine was adopted and used worldwide. Consensus on clearance of the other parts of spine is still lacking. This case reports highlights the findings in a 18-yrs-old male who presented with altered mental status, facial pain and abrasion, following a motor vehicle accident. Facial bone fracture was diagnosed and he was discharged. Three days later, he came with severe epigastric pain. Tenderness on palpation was noted at the spine and Computed Tomography (CT) scan was done. Multiple thoracic vertebra fractures were seen. As a conclusion, thorough primary and secondary survey should be done in patients who have regained full consciousness prior to discharge in order to avoid overlooking other serious injuries. Pusat Perubatan Universiti Kebangsaan Malaysia 2017 Article PeerReviewed application/pdf en http://journalarticle.ukm.my/11876/1/18_amin_et_al_pdf_12147.pdf Amin O, and Nik Azlan Nik Muhamad, and Afliza AB, (2017) A case of missed thoracic fracture masquerading as intra-abdominal injury. Medicine & Health, 12 (1). pp. 127-130. ISSN 2289-5728 http://www.medicineandhealthukm.com/toc/12/1
repository_type	Digital Repository
institution_category	Local University
institution	Universiti Kebangasaan Malaysia
building	UKM Institutional Repository
collection	Online Access
language	English
description	Altered mental status in the setting of polytrauma poses a challenge to the emergency team managing the patient. The tendency to miss positive findings in these circumstances increases several folds due to multiple factors such as depressed mental status/intoxication, presence of distracting injuries and concurrent life-threatening injuries that require more urgent attention. In view of this, NEXUS (National Emergency X-Radiography Utilization Study) criteria of clearing the cervical spine was adopted and used worldwide. Consensus on clearance of the other parts of spine is still lacking. This case reports highlights the findings in a 18-yrs-old male who presented with altered mental status, facial pain and abrasion, following a motor vehicle accident. Facial bone fracture was diagnosed and he was discharged. Three days later, he came with severe epigastric pain. Tenderness on palpation was noted at the spine and Computed Tomography (CT) scan was done. Multiple thoracic vertebra fractures were seen. As a conclusion, thorough primary and secondary survey should be done in patients who have regained full consciousness prior to discharge in order to avoid overlooking other serious injuries.
format	Article
author	Amin O, Nik Azlan Nik Muhamad, Afliza AB,
spellingShingle	Amin O, Nik Azlan Nik Muhamad, Afliza AB, A case of missed thoracic fracture masquerading as intra-abdominal injury
author_facet	Amin O, Nik Azlan Nik Muhamad, Afliza AB,
author_sort	Amin O,
title	A case of missed thoracic fracture masquerading as intra-abdominal injury
title_short	A case of missed thoracic fracture masquerading as intra-abdominal injury
title_full	A case of missed thoracic fracture masquerading as intra-abdominal injury
title_fullStr	A case of missed thoracic fracture masquerading as intra-abdominal injury
title_full_unstemmed	A case of missed thoracic fracture masquerading as intra-abdominal injury
title_sort	case of missed thoracic fracture masquerading as intra-abdominal injury
publisher	Pusat Perubatan Universiti Kebangsaan Malaysia
publishDate	2017
url	http://journalarticle.ukm.my/11876/ http://journalarticle.ukm.my/11876/ http://journalarticle.ukm.my/11876/1/18_amin_et_al_pdf_12147.pdf
first_indexed	2023-09-18T20:01:21Z
last_indexed	2023-09-18T20:01:21Z
_version_	1777406869338324992

A case of missed thoracic fracture masquerading as intra-abdominal injury

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