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Kehr's sign is the occurrence of acute pain in the tip of the shoulder due to the presence of blood or other irritants in the peritoneal cavity when a person is lying down and the legs are elevated. Kehr's sign in the left shoulder is considered a classic symptom of a ruptured spleen.
A splenic injury, which includes a ruptured spleen, is any injury to the spleen. ... Often there is a sharp pain in the left shoulder, known as Kehr's sign. [1]
The primary concern in any splenic trauma is internal hemorrhage, though the exact amount of hemorrhage may be small or large, depending on the nature and degree of injury. Small or minor injuries often heal spontaneously, especially in children. Larger injuries hemorrhage extensively, often causing hemorrhagic shock.
Fever is the most common symptom of splenic abscess, followed by abdominal pain and a tender mass on palpation of the left upper quadrant of the abdomen. The common signs and symptoms described of a splenic abscess include the triad of fever, left upper quadrant tenderness, and leukocytosis is present only in one-third of the cases.
Splenic infarction is a condition in which blood flow supply to the spleen is compromised, [1] leading to partial or complete infarction (tissue death due to oxygen shortage) in the organ. [2] Splenic infarction occurs when the splenic artery or one of its branches are occluded, for example by a blood clot .
954 Injury to other nerve(s) of trunk, excluding shoulder and pelvic girdles; 955 Injury to nerve(s) of shoulder girdle and upper limb. 955.0 Injury to axillary nerve; 955.1 Injury to median nerve; 955.2 Injury to ulnar nerve; 955.3 Injury to radial nerve; 955.4 Injury to musculocutaneous nerve; 955.5 Injury to cutaneous sensory nerve upper limb
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Medical history (the patient tells the doctor about an injury). For shoulder problems the medical history includes the patient's age, dominant hand, if injury affects normal work/activities as well as details on the actual shoulder problem including acute versus chronic and the presence of shoulder catching, instability, locking, pain, paresthesias (burning sensation), stiffness, swelling, and ...