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TRAUMA
Case #4 -
A 20 year old shot in the abdomen

DISCUSSION QUESTIONS:
7.) What is the management of stab wounds to the abdomen?

Laparotomy is indicated if patient is in shock or eviscerated. Otherwise, local exploration of the wound to the anterior or lateral abdominal wall is done to determine penetration into the peritoneal cavity. If there is no penetration, no further treatment is needed. Stab wounds to the flank and back are more difficult to evaluate and FAST, CT scan or DPL may prove useful.  
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