Which signs are associated with a ruptured spleen?

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Multiple Choice

Which signs are associated with a ruptured spleen?

When the spleen ruptures, internal bleeding into the abdomen is common, so the hallmark signs are in the left upper quadrant—pain there, plus tenderness when touched. The spleen sits under the left rib cage, and blood irritating the diaphragm can cause referred pain to the left shoulder (Kehr sign). As bleeding continues, the patient may become lightheaded, confused, or dizzy due to falling blood volume. These findings together point to splenic rupture. Chest pain, leg swelling, or headache aren’t typical signs of a ruptured spleen and would suggest other problems.

When the spleen ruptures, internal bleeding into the abdomen is common, so the hallmark signs are in the left upper quadrant—pain there, plus tenderness when touched. The spleen sits under the left rib cage, and blood irritating the diaphragm can cause referred pain to the left shoulder (Kehr sign). As bleeding continues, the patient may become lightheaded, confused, or dizzy due to falling blood volume. These findings together point to splenic rupture.

Chest pain, leg swelling, or headache aren’t typical signs of a ruptured spleen and would suggest other problems.

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