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Internal bleeding (also called internal haemorrhage) is a loss of blood from a blood vessel that collects inside the body, and is not usually visible from the outside. [1] It can be a serious medical emergency but the extent of severity depends on bleeding rate and location of the bleeding (e.g. head, torso, extremities).
Stab wounds can result in various internal and external injuries. These wounds are typically caused by low-velocity weapons, meaning the damage is usually confined to the weapon's path, unlike gunshot wounds which often affect surrounding tissues. [6] The abdomen is the most commonly injured
As the energy is applied in a more focused fashion, it requires less energy to cause significant injury. Any body organ, including bone and brain, can be injured and bleed. Bleeding may not be readily apparent; internal organs such as the liver, kidney and spleen may bleed into the abdominal cavity. The only apparent signs may come with blood loss.
During his autopsy, Avalos's body showed clear signs of sustained abuse. He had bruises and burns all over his body, and he was extremely malnourished. [4] According to court testimony, Avalos's aunt, Crystal Diuguid, divulged to her therapist that Avalos's mother was beating, starving, and locking him for hours in a room without any access to the bathroom. [4]
[11] [12] Damage may include bleeding, bone fractures, organ damage, wound infection, and loss of the ability to move part of the body. [2] Damage depends on the part of the body hit, the path the bullet follows through (or into) the body, and the type and speed of the bullet. [12] In severe cases, although not uncommon, the injury is fatal.
Initial management consists of immediate blood transfusion if the patient is in hemorrhagic shock. Classically, hemoperitoneum was an indication for emergency surgery to locate the source of bleeding and also to recover spilled blood from the peritoneal cavity and to use it for auto-transfusion if it has not been contaminated by ruptured bowel contents.
Bloodletting is usually administered directly to the affected area, e.g. if the patient has a headache, a cut is made on the forehead. Out of 14 cultures with information on the localization of bloodletting, 11 at least sometimes removed blood from the affected area, while 3 specifically removed blood from a different area from the area in pain.
Due to its location in the body, pancreatic injury is relatively uncommon but more difficult to diagnose. Most injuries to the pancreas are caused by penetrative trauma, such as gunshot wounds and stab wounds. Pancreatic injuries occur in under 5% of blunt abdominal trauma cases.
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