期刊名称：International Journal of Early Childhood Special Education
电子版ISSN：1308-5581
出版年度：2022
卷号：14
期号：5
页码：4425-4428
DOI：10.9756/INTJECSE/V14I5.518
语种：English
出版社：International Journal of Early Childhood Special Education
摘要：Adrenal gland hemorrhage is an uncommon, yet likely under-diagnosed complication of high-impact trauma, such as motor vehicle accidents (MVA). It usually occurs with multi-trauma and is associated with additional injuries to the ribs, liver, kidney, spleen and vertebrae. Trauma cases with resultant adrenal gland injury have higher mortality rates. Primary adrenal insufficiency as a result of bilateral adrenal hemorrhage is potentially fatal. Case presentation: A 32-year-old male was motor vehicle accident while riding at speed 70 km/hr he was brought to the emergency department in A.V.B.R. hospital and admitted to the orthopedic ward. With chief complaint of pain in left shoulder and tenderness present in left sided ribs .there is no any history of abdominal pain,nausea,vomiting. No history of cold, cough , fever .there is no history of trauma ,previous treatment in hospitalization .In patient no any associated illness were present like diabetes mellitus , hypertension ,tuberculosis, asthma .No any significant past history .In personal history like tobacco chewing habit. Physical examination and systemic examination was done. In respiratory system: bilateral clear, cardiovascular: heart sound was normal, central nervous system: G.C.S. E3, V5, M6.His vital sign is stable abdominal examination: soft and non-tender. No any abnormality detected in musculoskeletal system.The hospital and the doctor recommend further medical and surgical management. Management: Patient was admitted to orthopedic ward for conservative management of fractured left scapular body, left side ribs, liver contusion and right adrenal hemorrhage. All the routine investigation was done. Hemoglobin 14.5gm%. The patient had been investigations, for example, blood test, Physical examination, X-ray, Contrast CT scan of thorax , abdomen and pelvis was done to exclude internal injuries .ECG and X-ray was done which was normal. Patient was started on antibiotics, analgesic, antacid, antiepileptic and another supportive medications. Ultrasonography was done and follow-up after one month .Surgery opinion was taken and patient was advised for conservative management. Conclusion: due to conservative management and quality nursing care patient condition was stable and had no active complaints at present hence patient is being discharged.
