This Article  • Full text PDF  • Send to a friend  • Save in My Folder  • Save to citation manager  • Permissions  Citing Articles  • Citing articles on HighWire  • Contact me when this article is cited  Related Content  • Similar articles in JAMA  Social Bookmarking   What's this?

Richard F. Kunkle, MD
Latrobe Area Hospital Latrobe, Pa

JAMA. 1985;253(17):2491.

	Since this article does not have an abstract, we have provided the first 150 words of the full text PDF and any section headings.

To the Editor.—Report of a Case.—

On Jan 1, 1985, a 16-year-old girl arrived in our emergency department following a one-vehicle motorcycle accident. She was riding her motorcycle up a hill when she rolled the bike over a cliff; the bike landed on top of her. She was attended by a friend who stated she did not lose consciousness; however, she did complain of facial, chest, and abdominal pain.

Upon arrival in the emergency room, she showed major facial lacerations and abdominal guarding, tenderness, and diminished bowel sounds. Maintenance of vital signs required crystalloid infusion. During the 20 to 30 minutes required to obtain surgical evaluation, the patient began demonstrating increased right upper quadrant tenderness and increasingly diffuse guarding and rigidity.

When the parents were advised that surgery for suspected intra-abdominal bleeding was required, they stated that they had received notification that a second opinion and precertification of need was . . . [Full Text PDF of this Article]

Footnotes
Edited by Drummond Rennie, MD, Senior Contributing Editor.

CiteULike    Connotea    Del.icio.us    Digg    Reddit    Technorati    Twitter     What's this?