TY  - CHAP
M1  - Book, Section
TI  - Visceral Findings
A1  - Lindberg, Daniel M.
A1  - Chiesa, Antonia
A1  - Miller, Angie L.
A2  - Knoop, Kevin J.
A2  - Stack, Lawrence B.
A2  - Storrow, Alan B.
A2  - Thurman, R. Jason
PY  - 2021
T2  - The Atlas of Emergency Medicine, 5e
AB  - Intra-abdominal  and  intrathoracic  injuries  are  identified  in  a  small  but  important  fraction  of  abused  children.  These  injuries  can  be  deadly  and  can  significantly  affect  the  plausibility  of  an  offered  history  for  other  injuries.  Clinical  signs  of  abdominal  injury  (tenderness,  bruising,  distention,  altered  bowel  sounds)  are  relatively  specific  but  relatively  insensitive.  Hepatic  transaminases  (AST  and  ALT)  can  identify  abdominal  injuries  that  are  missed  by  clinical  examination  alone  and  should  be  obtained  in  children    80  IU/L,  abdominal  CT  with  intravenous  (IV)  contrast  should  be  obtained  to  identify  intra-abdominal  injury.  
SN  - 
PB  - McGraw-Hill
CY  - New York, NY
Y2  - 2024/04/19
UR  - accessemergencymedicine.mhmedical.com/content.aspx?aid=1181050687
ER  -