This patient has signs of internal bleeding
Decreased breath sounds--> abdomen filling with fluid, so the diaphragm has to push against increased pressure to get a breath in.
Abdominal distension, tachycardic, hypotensive.
hematocrit drop by 12%. think about this. 1% change in hematocrit is 3 units of blood. 1 unit is 500mL. So based on her calculated blood loss, she should have only dropped hct by (1%-2).
So I mean it could be underestimated blood loss, but her PE signs point to hemorrage
ronabobonafofonaCorrect. Could be a retroperitoneal hematoma. See Uworld QID: 16318+22020-08-03T01:15:01Z
jlbaeYes to this and also - underestimated blood loss would not wait 4 hours to suddenly become symptomatic.+12020-08-16T22:14:32Z
submitted by sugaplum(413), 2020-06-12T00:05:08Z
This patient has signs of internal bleeding Decreased breath sounds--> abdomen filling with fluid, so the diaphragm has to push against increased pressure to get a breath in. Abdominal distension, tachycardic, hypotensive.
hematocrit drop by 12%. think about this. 1% change in hematocrit is 3 units of blood. 1 unit is 500mL. So based on her calculated blood loss, she should have only dropped hct by (1%-2). So I mean it could be underestimated blood loss, but her PE signs point to hemorrage