title: Bedside ultrasound diagnosis of a spontaneous splenic hemorrhage after tissue plasminogen activator administration.
abstract: Emergency physicians (EPs) can use bedside ultrasound to diagnosis of intraabdominal free fluid in a variety of clinical scenarios.The purpose of this study is to review the sonographic appearance of intraabdominal free fluid and incidence of spontaneous splenic rupture. An EP used bedside ultrasound to diagnose spontaneous splenic rupture in a patient who had received tissue plasminogen activator for suspected acute ischemic stroke. Bedside ultrasound by a physician trained in basic ultrasound and the focused assessment with sonography for trauma can diagnose intraabdominal free fluid, facilitating appropriate and more rapid consultation, advanced imaging, and treatment.
authors.affiliation: Massachusetts General Hospital, Boston, MA. Electronic address: agenthon@partners.org.
authors.forename: Alissa
authors.initials: A
authors.lastname: Genthon
authors.affiliation: Brigham and Women's Hospital, Boston, MA. Electronic address: sfrasure@partners.org.
authors.forename: Sarah
authors.initials: S
authors.lastname: Frasure
authors.affiliation: Massachusetts General Hospital, Boston, MA. Electronic address: kkinnaman@partners.org.
authors.forename: Karen
authors.initials: K
authors.lastname: Kinnaman
authors.affiliation: Massachusetts General Hospital, Boston, MA. Electronic address: ckhuang@partners.org.
authors.forename: Calvin
authors.initials: C
authors.lastname: Huang
authors.affiliation: Massachusetts General Hospital, Boston, MA. Electronic address: vnoble@partners.org.
authors.forename: Vicki
authors.initials: V
authors.lastname: Noble
mesh_terms: D000369:Aged, 80 and over; D005260:Female; D006470:Hemorrhage / Q000139:chemically induced / Q000000981:diagnostic imaging*; D006801:Humans; D019095:Point-of-Care Systems; D013154:Spleen / Q000000981:diagnostic imaging; D013158:Splenic Diseases / Q000139:chemically induced / Q000000981:diagnostic imaging*; D020521:Stroke / Q000188:drug therapy; D010959:Tissue Plasminogen Activator / Q000009:adverse effects*; D014463:Ultrasonography
chemical_list: D010959:Tissue Plasminogen Activator