A comparison of diagnostic peritoneal lavage and computed tomography (CT scan) in evaluation of the hemodynamically stable patient with blunt abdominal trauma
The diagnosis of intmabdominal injury in the patient who is victim of blunt trauma is often problematic. Currently, two procedures, diagnostic peritoneal lavage (DPL) and computed tomography (CT scan) are used to evaluate patients with possible intraabdominal injuries after blunt trauma. Controversy...
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| Veröffentlicht in: | The Journal of emergency medicine 1992-05, Vol.10 (3), p.275-280 |
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| container_title | The Journal of emergency medicine |
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| creator | Bell, Calvin Coleridge, Samuel T. |
| description | The diagnosis of intmabdominal injury in the patient who is victim of blunt trauma is often problematic. Currently, two procedures, diagnostic peritoneal lavage (DPL) and computed tomography (CT scan) are used to evaluate patients with possible intraabdominal injuries after blunt trauma. Controversy exists as to which of these modalities is more efficacious in this setting. There are advantages and disadvantages of both procedures, however, present evidence suggests that the clinician should not rely on the results of the CT scan. The DPL, on the other hand is a sensitive and specific modality in evaluating the patient with blunt abdominal trauma. |
| doi_str_mv | 10.1016/0736-4679(92)90332-N |
| format | Article |
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Currently, two procedures, diagnostic peritoneal lavage (DPL) and computed tomography (CT scan) are used to evaluate patients with possible intraabdominal injuries after blunt trauma. Controversy exists as to which of these modalities is more efficacious in this setting. There are advantages and disadvantages of both procedures, however, present evidence suggests that the clinician should not rely on the results of the CT scan. The DPL, on the other hand is a sensitive and specific modality in evaluating the patient with blunt abdominal trauma.</description><identifier>ISSN: 0736-4679</identifier><identifier>EISSN: 2352-5029</identifier><identifier>DOI: 10.1016/0736-4679(92)90332-N</identifier><identifier>PMID: 1624738</identifier><identifier>CODEN: JEMMDO</identifier><language>eng</language><publisher>New York, NY: Elsevier Inc</publisher><subject>Abdominal Injuries - diagnosis ; Abdominal Injuries - diagnostic imaging ; Abdominal Injuries - physiopathology ; Biological and medical sciences ; blunt abdominal trauma ; computed tomography ; Contraindications ; CT scan ; diagnostic peritoneal lavage ; Digestive system ; hemodynamically stable ; Hemodynamics ; Humans ; intraabdominal injury ; Investigative techniques, diagnostic techniques (general aspects) ; Medical sciences ; Pathology. Cytology. Biochemistry. Spectrometry. 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Currently, two procedures, diagnostic peritoneal lavage (DPL) and computed tomography (CT scan) are used to evaluate patients with possible intraabdominal injuries after blunt trauma. Controversy exists as to which of these modalities is more efficacious in this setting. There are advantages and disadvantages of both procedures, however, present evidence suggests that the clinician should not rely on the results of the CT scan. The DPL, on the other hand is a sensitive and specific modality in evaluating the patient with blunt abdominal trauma.</description><subject>Abdominal Injuries - diagnosis</subject><subject>Abdominal Injuries - diagnostic imaging</subject><subject>Abdominal Injuries - physiopathology</subject><subject>Biological and medical sciences</subject><subject>blunt abdominal trauma</subject><subject>computed tomography</subject><subject>Contraindications</subject><subject>CT scan</subject><subject>diagnostic peritoneal lavage</subject><subject>Digestive system</subject><subject>hemodynamically stable</subject><subject>Hemodynamics</subject><subject>Humans</subject><subject>intraabdominal injury</subject><subject>Investigative techniques, diagnostic techniques (general aspects)</subject><subject>Medical sciences</subject><subject>Pathology. Cytology. Biochemistry. Spectrometry. Miscellaneous investigative techniques</subject><subject>Peritoneal Lavage</subject><subject>Tomography, X-Ray Computed</subject><subject>Wounds, Nonpenetrating - diagnosis</subject><issn>0736-4679</issn><issn>2352-5029</issn><fulltext>true</fulltext><rsrctype>article</rsrctype><creationdate>1992</creationdate><recordtype>article</recordtype><sourceid>EIF</sourceid><recordid>eNp9kctu1DAUhiMEKtPCG4DkBULtIuDLTC6bStWoXKSqbGZvndgnM0aOHWxn0LwMz4rTjMqOlS2d7_y2vr8o3jH6iVFWfaa1qMp1VbfXLb9pqRC8fHxRrLjY8HJDefuyWD0jr4vLGH9SymrasIviglV8XYtmVfy5I8oPIwQTvSO-J9rA3vmYjCIjBpO8Q7DEwhH2SMDpJ3xKqEnyg98HGA8ncr3dkajA3RDjCB7BTpDMkpcOSA44eH1yMBgF1p5ITNBZJGOG0CXy26QD6eyUr9BpPxiXX0wBpgHeFK96sBHfns-rYvflfrf9Vj78-Pp9e_dQKkFZKhWwpse1VhU2omlYr3sAxmnLO96CViwL4x00vO2gq9u6bzq26YSiSgPwSlwVH5fYMfhfE8YkBxMVWgsO_RRlLWg2Ws_gegFV8DEG7OUYzADhJBmVcytyVi5n5bLl8qkV-ZjX3p_zp25A_W9pqSHPP5znkDXaPoBTJj5ja7ERVTNjtwuGWcXRYJBRZYMKtQmoktTe_P8ffwE6Bqz7</recordid><startdate>199205</startdate><enddate>199205</enddate><creator>Bell, Calvin</creator><creator>Coleridge, Samuel T.</creator><general>Elsevier Inc</general><general>Elsevier</general><scope>IQODW</scope><scope>CGR</scope><scope>CUY</scope><scope>CVF</scope><scope>ECM</scope><scope>EIF</scope><scope>NPM</scope><scope>AAYXX</scope><scope>CITATION</scope><scope>7X8</scope></search><sort><creationdate>199205</creationdate><title>A comparison of diagnostic peritoneal lavage and computed tomography (CT scan) in evaluation of the hemodynamically stable patient with blunt abdominal trauma</title><author>Bell, Calvin ; Coleridge, Samuel T.</author></sort><facets><frbrtype>5</frbrtype><frbrgroupid>cdi_FETCH-LOGICAL-c301t-ca18fe4dc6e83881fdfaa12092b29adc11012ba829bab797f8b15b3c0cdaa263</frbrgroupid><rsrctype>articles</rsrctype><prefilter>articles</prefilter><language>eng</language><creationdate>1992</creationdate><topic>Abdominal Injuries - diagnosis</topic><topic>Abdominal Injuries - diagnostic imaging</topic><topic>Abdominal Injuries - physiopathology</topic><topic>Biological and medical sciences</topic><topic>blunt abdominal trauma</topic><topic>computed tomography</topic><topic>Contraindications</topic><topic>CT scan</topic><topic>diagnostic peritoneal lavage</topic><topic>Digestive system</topic><topic>hemodynamically stable</topic><topic>Hemodynamics</topic><topic>Humans</topic><topic>intraabdominal injury</topic><topic>Investigative techniques, diagnostic techniques (general aspects)</topic><topic>Medical sciences</topic><topic>Pathology. Cytology. Biochemistry. Spectrometry. Miscellaneous investigative techniques</topic><topic>Peritoneal Lavage</topic><topic>Tomography, X-Ray Computed</topic><topic>Wounds, Nonpenetrating - diagnosis</topic><toplevel>peer_reviewed</toplevel><toplevel>online_resources</toplevel><creatorcontrib>Bell, Calvin</creatorcontrib><creatorcontrib>Coleridge, Samuel T.</creatorcontrib><collection>Pascal-Francis</collection><collection>Medline</collection><collection>MEDLINE</collection><collection>MEDLINE (Ovid)</collection><collection>MEDLINE</collection><collection>MEDLINE</collection><collection>PubMed</collection><collection>CrossRef</collection><collection>MEDLINE - Academic</collection><jtitle>The Journal of emergency medicine</jtitle></facets><delivery><delcategory>Remote Search Resource</delcategory><fulltext>fulltext</fulltext></delivery><addata><au>Bell, Calvin</au><au>Coleridge, Samuel T.</au><format>journal</format><genre>article</genre><ristype>JOUR</ristype><atitle>A comparison of diagnostic peritoneal lavage and computed tomography (CT scan) in evaluation of the hemodynamically stable patient with blunt abdominal trauma</atitle><jtitle>The Journal of emergency medicine</jtitle><addtitle>J Emerg Med</addtitle><date>1992-05</date><risdate>1992</risdate><volume>10</volume><issue>3</issue><spage>275</spage><epage>280</epage><pages>275-280</pages><issn>0736-4679</issn><eissn>2352-5029</eissn><coden>JEMMDO</coden><abstract>The diagnosis of intmabdominal injury in the patient who is victim of blunt trauma is often problematic. Currently, two procedures, diagnostic peritoneal lavage (DPL) and computed tomography (CT scan) are used to evaluate patients with possible intraabdominal injuries after blunt trauma. Controversy exists as to which of these modalities is more efficacious in this setting. There are advantages and disadvantages of both procedures, however, present evidence suggests that the clinician should not rely on the results of the CT scan. The DPL, on the other hand is a sensitive and specific modality in evaluating the patient with blunt abdominal trauma.</abstract><cop>New York, NY</cop><pub>Elsevier Inc</pub><pmid>1624738</pmid><doi>10.1016/0736-4679(92)90332-N</doi><tpages>6</tpages></addata></record> |
| fulltext | fulltext |
| identifier | ISSN: 0736-4679 |
| ispartof | The Journal of emergency medicine, 1992-05, Vol.10 (3), p.275-280 |
| issn | 0736-4679 2352-5029 |
| language | eng |
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| source | MEDLINE; Elsevier ScienceDirect Journals |
| subjects | Abdominal Injuries - diagnosis Abdominal Injuries - diagnostic imaging Abdominal Injuries - physiopathology Biological and medical sciences blunt abdominal trauma computed tomography Contraindications CT scan diagnostic peritoneal lavage Digestive system hemodynamically stable Hemodynamics Humans intraabdominal injury Investigative techniques, diagnostic techniques (general aspects) Medical sciences Pathology. Cytology. Biochemistry. Spectrometry. Miscellaneous investigative techniques Peritoneal Lavage Tomography, X-Ray Computed Wounds, Nonpenetrating - diagnosis |
| title | A comparison of diagnostic peritoneal lavage and computed tomography (CT scan) in evaluation of the hemodynamically stable patient with blunt abdominal trauma |
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