Surgical Bleeding

Lisa Arfons, MD and Alvin Schmaier, MD

Case Western Reserve University, Cleveland, OH

Copyright of the American Society of Hematology, 2011. ISSN: 1931-6860.

II. PHYSICAL EXAM

PERTINENT PHYSICAL FINDINGS

General: Intubated, sedated
Skin: Cool extremities, clammy, with a slight purplish web-like hue on the legs
HEENT: Pupils equally reactive, sclera white, present endotracheal tube without blood inside tube, mucous membranes slightly pale with dried blood in mouth, nares
CV: Tachycardic, regular rhythm, no murmurs/rubs
Pulm: Diffuse rhonchi throughout, left-sided chest tubes x 2 draining bright red blood
Abd: Normoactive bowel sounds, non-tender, non-distended, no organomegaly
Extr: Bleeding at right internal jugular central venous catheter site, blood-tinged urine draining from urinary catheter, scattered petechiae on her bilateral lower extremities. Ecchymoses around the puncture site were also noted.

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Laboratory Data
Radiologic Studies



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