Musculoskeletal System

{"ops":[{"insert":"Diagnosis and reasoning"},{"insert":"\n","attributes":{"header":1}},{"insert":"This patient is a back seat passenger who presented following a high speed front-impact motor vehicle collision. Similar to any other patient with trauma, his initial evaluation and management should follow Advanced Trauma Life Support (ATLS) guidelines.\n \nDuring the primary survey, although he appears alert, assessment of the circulation reveals impending grade III hypovolemic shock. Urgent fluid resuscitation is essential, as is sending blood for grouping and crossmatching.\n \nHis external injuries are relatively minor, indicating that the bleeding is internal. The pattern of bruises over the anterior abdomen provide a clue, suggesting at seatbelt syndrome with its antecedent visceral injuries. This is further supported by the surgical abd"}]}

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