tag:blogger.com,1999:blog-8005913307053669259.post2988514119460631711..comments2024-03-10T03:33:29.698-04:00Comments on Medicowesome: Hidden bleedsIkaN (Nakeya Dewaswala, M.D.)http://www.blogger.com/profile/03461017124502223040noreply@blogger.comBlogger5125tag:blogger.com,1999:blog-8005913307053669259.post-65925310314078112922017-05-02T05:24:04.434-04:002017-05-02T05:24:04.434-04:00Thank you! Thank you! IkaN (Nakeya Dewaswala, M.D.)https://www.blogger.com/profile/03461017124502223040noreply@blogger.comtag:blogger.com,1999:blog-8005913307053669259.post-55521650910932481452017-04-30T09:46:50.267-04:002017-04-30T09:46:50.267-04:00Super bbbSuper bbbAnonymoushttps://www.blogger.com/profile/01642115878030972950noreply@blogger.comtag:blogger.com,1999:blog-8005913307053669259.post-29663364638411601652016-02-24T19:09:33.846-05:002016-02-24T19:09:33.846-05:00Here's the differentials for you, in case you ...Here's the differentials for you, in case you were wondering! :D<br /><br />Gynecological:<br />Ectopic pregnancy<br />Ruptured ovarian cyst<br />Uterine leiomyoma/leiomyosarcoma<br />Ovarian granulosa cell tumor<br />Ruptured corpus leuteum cyst<br />Hyperemesis gravidarum<br />Endometriosis<br />Spontaneous uterine rupture<br /><br />Splenic:<br />Chronic myelomonocytic leukemia<br />Infectious mononucleosis<br />Spontaneous splenic rupture<br />Iatrogentic<br />Spontaneous rupture of splenic vein<br />Torsion and rupture of wandering spleen<br />Hamartoma<br />Primary splenic angiosarcoma<br /><br />Hepatic:<br />Peliosis hepaticus<br />Hepatic adenoma/adenomatosis<br />Hepatocellular carcinoma<br />Hemangioma<br />Primary hepatic angiosarcoma<br />Metastatic cancer<br />Amyloid<br />Focal nodular hyperplasia<br />Biliary Ruptured cholangiocarcinoma<br />Transhepatic rupture of gallbladder<br /><br />Vascular:<br />Ruptured cystic artery pseudoaneurysm<br />Ruptured splenic artery aneurysm<br />Segmental mediolytic arteriopathy<br /><br />Gastric:<br />Mixed cavernous-capillary hemangioma<br />GIST<br /><br />Colonic:<br />Meckel’s diverticulitis<br />GIST<br /><br />Pancreatic:<br />Ruptured pseudocyst<br /><br />Miscellaneous:<br />Ruptured benign solitary fibrous tumorIkaN (Nakeya Dewaswala, M.D.)https://www.blogger.com/profile/03461017124502223040noreply@blogger.comtag:blogger.com,1999:blog-8005913307053669259.post-82568884467708561082016-02-24T19:07:23.812-05:002016-02-24T19:07:23.812-05:00It can be... But a bleed into the peritoneum will ...It can be... But a bleed into the peritoneum will cause peritoneal irritation, leading to localized or generalized pain in the abdomen and/or tenderness/rigidity. So it isn't always "hidden" and after a drop in 1 or 2 g/dL of hemoglobin, you will definitely diagnose it.<br /><br />In retroperitoneal bleeds, however, the hemoglobin might drop 6-8 g/dL and you still can't find the source.<br /><br />(PS: The list of differentials for peritoneal hemorrhage is huge.)IkaN (Nakeya Dewaswala, M.D.)https://www.blogger.com/profile/03461017124502223040noreply@blogger.comtag:blogger.com,1999:blog-8005913307053669259.post-48728475418341055542016-02-23T20:19:12.773-05:002016-02-23T20:19:12.773-05:00Can it not be a bleed into peritoneum from a uter...Can it not be a bleed into peritoneum from a uterine vessel after c-section..? Anonymousnoreply@blogger.com