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Abdomen Legal Definition

Penetrating abdominal trauma can cause hypovolemic shock and peritonitis. Penetration can reduce intestinal noise due to bleeding, infections and irritation, and injuries to the arteries can cause bruising. Percussion shows hyperresonance, or dullness, which indicates blood. The abdomen may be swollen or tender, suggesting that surgery is needed. The presentation of a patient with a penetrating abdominal lesion may present with shock, hypotension, tight pulse pressure, tachypnea, oliguria and an apparent trajectory or open wound. Examination in awake patients may reveal signs of peritonitis such as guard or sensitivity to rebound. The approach of patients with penetrating abdominal trauma depends on the type of instrument that caused the injury and the hemodynamic state. In general, injections into the abdomen are usually associated with a hollow viscous wound and usually require examination. Knife wounds are associated with a lower incidence of intra-abdominal injuries and, therefore, their treatment requires clinical judgment and experience. There are many protocols for assessing patients with a piercing wound to the abdomen. Blood tests are always done, but are not specific. The use of DPL and FAST can be performed to assess the stable patient with a knife or gunshot wound, but both modalities have a high rate of false-negative results. Computed tomography is used in patients with flank and back wounds and can help assess solid organ damage.

The diagnostic test of choice is a triple-contrast computed tomography scan in hemodynamically stable patients. Other imaging tests may be done to assess an associated head or skeletal injury. In most hospitals, pervasive trauma is treated by a trauma team. Once the ABCs are complete, most vaccinated patients require an exploratory laparotomy. This view is changing, and stable patients with gunshot wounds without signs of peritonitis who have been examined by a triple-contrast scanner can be observed if there is no evidence of intra-abdominal injury. Indications for surgical intervention include (1) patients with hemodynamic instability, (2) the development of peritoneal outcomes such as involuntary protection, point sensitivity or rebound sensitivity, and (3) diffuse abdominal pain that does not go away. [7] [8] [9] Penetrating abdominal trauma is at an all-time high in the United States. The availability of weapons is the most common reason for this type of trauma. As the legal system continues to debate the role of firearms in society, the focus is on preventing these injuries in health care. Doctors and nurses must be proactive with the patient and family if they want to reduce violence in society. The information is intended to show the dangers of firearms, how and where they should be stored. There is no magic method to prevent violence in society, but the public should be supported in housing, financial support and better employment opportunities.

The family should understand that whenever trauma occurs, it can lead to high morbidity for the patient and can lead to lifelong disability, resulting in loss of income and non-provision. [12] [13] [Level 3] The abdomen (much of the middle of the body) is part of many medical statements made by our court reporters. Patients with various medical procedures and diagnoses may complain of pain or discomfort in the abdomen. Abdominal pain is a pain between the chest and groin of the body. Common causes include gas and bloating. Some abdominal pain can be caused by inflammation (appendicitis, diverticulitis). The abdominal organs can be stretched or swollen (swelling of the liver, blockage of gallstones in the bile duct) Blood that does not flow to the abdominal organs also causes pain in the abdomen (ischemic colitis). These causes of abdominal pain are easier to diagnose than others.

Sometimes a patient will feel pain in his abdomen without any of the mentioned causes (inflammation, stretching, blood supply). There may not be a visible cause that is obvious. Patients who experience this “mark” of abdominal discomfort may be referred to a gastroenterologist who specializes in this area of the body and can help diagnose the cause of a patient`s pain. The prognosis of patients with penetrating abdominal trauma is variable and depends on the extent of the injury and the time of presentation to the emergency department. With massive abdominal contamination by perforated viscus, bleeding, multi-organ injuries, associated head injuries or coagulopathy, mortality rates are high. In patients who are rapidly resuscitated and studied, mortality rates remain low. Injuries to the abdomen to the abdomen usually have a much better prognosis than gunshot wounds. borrowed from Middle French and Latin; Middle French, borrowed from the Latin abdÅmen “fat under the part of an animal, abdomen, paunch”, of uncertain origin The space left by the tissue destroyed by the invading object forms a cavity, which is called permanent cavitation.

In addition to damaging the tissues with which they come into contact, medium and high speed projectiles cause secondary cavitation damage when the object enters the body, they create a pressure wave that pushes the tissue out of the way and creates a cavity. The tissues return to their place and remove the cavity, but cavitation has already caused significant damage. Foreign bodies such as bullets can be removed, but if it is possible that they cause more damage, they should be left in place. Wounds are unbridled to remove tissues that cannot survive and lead to infection. Penetrating trauma indicates that the object is not passing. Penetrating trauma can be caused by violence and can result from: Penetrating abdominal trauma is due to stab wounds, ballistic injuries and work accidents. These injuries can be life-threatening because the abdominal organs bleed profusely. If the pancreas is injured, other injuries occur due to self-digestion. Violations of the liver often occur in shock, since the liver tissue has a significant blood supply.

The intestine is at risk of perforation with the feces that accompany it and make penetration difficult. Patients with a piercing wound with clear signs of peritonitis also need a laparotomy. Stable patients with puncture wounds may be subject to local research or triple contrast computed tomography. The principles of surgery include (1) treatment of bleeding, (2) rapid identification of serious injuries, (3) rapid control of contamination, and (4) reconstruction if possible. If there is an associated vascular lesion, a consultation with a vascular surgeon is highly recommended. Penetrating trauma often causes damage to internal organs, leading to shock and infection. Gravity depends on the organs of the body involved, the properties of the object and the amount of energy transferred. The assessment includes X-rays, CT scans and MRIs. Treatment involves surgical intervention to repair damaged structures and remove foreign bodies. When a projectile passes through a tissue, it slows down and transfers kinetic energy to the tissue.

Increased speed causes more damage than mass. The kinetic energy increases with the square of the velocity. Penetrating trauma occurs when a foreign body enters the skin and enters the body, causing a wound. With blunt or non-penetrating trauma, the skin is not necessarily broken. In penetrating trauma, the object remains in the tissue or enters the tissue and leaves the body. A wound in which an object enters and passes through the body is called a puncture wound. A puncture-piercing trauma is associated with an entry wound and an exit wound. [1] Our forensic reporting staff, based in Cleveland, Ohio, receives numerous testimonies every day. Many of them are medical depots. If you need a stenographer to make a medical statement, feel free to call us for an experienced court reporter! This book is distributed under the terms of the Creative Commons Attribution 4.0 International License (creativecommons.org/licenses/by/4.0/), which allows use, reproduction, adaptation, distribution and reproduction in any medium or format, provided that you correctly mention the original author(s) and source, that a link to the Creative Commons license is provided, and that any changes made are indicated. Note: Often seen as a derivative of abdere, “hide, hide”, i.e.

“what is hidden”, based on a nominal ablautform *dhoh1- from the root *dheh1- “put”. However, the Latin abdÅmen refers mainly to a part of the body of animals and more or less humorously to humans; Such use suggests something prominent rather than something hidden, so the derivation seems somewhat unlikely.