An 18-year-old girl presented to the trauma cell following a horse fall accident. During her descent, the horse kicked her, and she is now complaining of generalized abdominal pain and left shoulder-tip pain. Examination The patient is able to talk and examination of her chest is normal. The oxygen saturations are 100% on 24% oxygen. Initially, her pulse rate was 110/min, with a blood pressure of 84/60 mmHg. She is slightly drowsy and her Glasgow Coma Score (GCS) is 14.
On examination of the abdomen, there is an abrasion on the left side beneath the costal margin with tenderness in the left upper quadrant. There is no evidence of any other injuries and the urinalysis is clear. The patient is given 2 L of intravenous fluids and the blood pressure improves to 130/90 mmHg. As the patient has now become stable, a CT scan of the chest and abdomen is obtained. On returning to the emergency…
