Liver_Trauma - Liver Trauma Liver Vic Vernenkar, D.O. St....

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Liver Trauma Liver Trauma Vic Vernenkar, D.O. St. Barnabas Hospital
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Background Largest solid abdominal organ,fixed position Second most common injured, but most common cause of death after abdominal trauma Blunt MVA most common 80% adults, 97% children-conservative rx
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Pathophysiology Friable parenchyma, thin capsule, fixed position in relation to spine. Right lobe gets hit more since its larger, and closer to ribs. 85% injuries involve segments 6,7,8 from compressioin against ribs, spine, abd wall. Shear forces at attachments to diaphragm Transmission thru right hemithorax.
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Pathophysiology Liver injured easily in children since ribs are compliant, force transmitted. Liver not as developed in children, with weaker connective tissue framework. Iatrogenic injuries by biopsies, biliary drainage, TIPS, can cause capsular tears and bile leaks, fistulas, hemoperitoneum.
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Injuries Subcapsular hematoma or intrahepatic hematoma. Laceration
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This note was uploaded on 12/27/2011 for the course STEP 1 taught by Professor Dr.aslam during the Fall '11 term at Montgomery College.

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Liver_Trauma - Liver Trauma Liver Vic Vernenkar, D.O. St....

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