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Clinical VignetteA clinical vignette is a concise presentation of an interesting or challenging patient encounter that stimulated an interesting learning issue.
A 17 years old boy was involved in a gang fight. It started as an argument but quickly worsened into a street brawl with the use of knives. He was examined in the emergency department and found to have a bleeding stab wound in his left flank. A urine specimen revealed frank blood.
Stab wounds of the kidneys involve other abdominal organs in a high percentage of cases. Of the organs listed below, name the one least likely to be damaged in this patient.
a. stomach
b. spleen
c. inferior vene cava
d. left colic flexure
e. left suprarenal gland
f. coils of jejunum
g. body of the pancreas
Dr. Suvash Shrestha, Intern
Kathmandu Medical College
check this image, but this is on epigastric rupture.
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