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22 y/o male TOI: 1AM DOI: (you decide) POI: Espana MOI: (you decide) At 1AM, patient was

walking home when a group of 3 men attack him from behind and took all his belongings. Patient loss consciousness and was brought to the ER. (Dr. Orlina said that kayo n bahala sa istorya but this is the important facts) VS: 120/90 mm/Hg 92 bpm 20 cpm 37.0 GCS 15

On Inspection: (+) laceration on R orbital area (you can make it specific if you want) (+) Contusion both forearm PE of abdomen revealed (+) direct tenderness on LUQ, rest of PE unremarkable Imaging: Cranial CT, CXR, cervical XRAY all normal. CT scan ng abdomen meron grade 2 spleenic laceration look for representative pictures na lang daw sabi ni Dr.) Laboratories: Urinalysis normal (-) hematuria, CBC Hgb 110 Hct .32 the rest of the CBC la na si Dr. nasabi so im guessing inormal mo na lang. So your case is blunt injury (stable) for the discussion important to include is what Grade of spleenic laceration is a candidate for surgery. Kung may question daw just approach Dr. Orlina

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