Chapter 6, Problem 193R

trace blood from desending colon to left foot?

Digestion of Coagulated Protein

Male, 17 years old, 10 hours after left quarter rib trauma, thirsty, palpitations, irritability 2 hours. The patient suffered a bruise on the ribs of the left upper abdomen in a car accident. At that time, the pain was severe and he went to the hospital. The X-rays showed it confirmed that he had a rib fracture. He felt better after bed rest and local fixation, but still had left upper abdominal pain and nausea. When waking up in the afternoon, he felt entire abdomen pain and abdominal distention, accompanied by dizziness, palpitations, and thirsty and irritability in 2 hours. Physical examination: T37.6°C, P110 beats/min, Bp 90/60mmHg. Conscious, obvious pale conjunctiva, cardiopulmonary (-), ecchymosis and tenderness under the skin of on the ribs of the left upper abdomen. The abdomen is slightly swollen, and the whole abdomen has obvious tenderness, focusing on the left upper abdomen. The muscle tension is not obvious, but there is obvious rebound pain, shifting dullness (+), and…