xrays sign cxr pocus mcconnells lever xray abdominal differential liver handlebar pulmonary

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Handlebar Traumatic Injury
Young girl presents to you after low energy, helmeted bicycle accident. Her vitals

re-exams (normal CXR ... concern for blunt abdominal ... Severe abdominal ... injuries to spleen, liver ... pattern on your differential

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Authors: Mark M. Ramzy, DO, EMT-P (@MarkRamzyDO, EM Resident Physician, Drexel University, Department of Emergency Medicine)

Vital signs: BP ... (CXR), try rotating ... not seen on a CXR ... consider intra-abdominal ... bleeding often from a liver

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