OBJECTIVE: To determine the benefit of screening ultrasonography for parenchymal abnormalities as well as free fluid during screening abdominal ultrasonography in @entity1 with @entity130 . METHODS: A total of 2693 @entity1 with @entity130 who were triaged to a level 1 @entity130 center underwent screening abdominal ultrasonography in the resuscitation suite. Examinations were performed by experienced sonographers and included a screen for free intraperitoneal fluid and evaluation of the abdominal organ parenchyma and heart for @entity130 . Screening ultrasonographic findings were reviewed and compared with findings from autopsy, laparotomy, diagnostic peritoneal lavage, computed tomography, repeated ultrasonography, cystography, and clinical outcome. Imaging studies of all @entity1 with confirmed or suspected injuries were reviewed to identify those in whom parenchymal findings aided diagnosis. RESULTS: One hundred seventy-two @entity1 were found to have evidence of @entity3511 due to @entity130 on the basis of clinical data, imaging, laparotomy, or autopsy. Forty-four of these @entity1 had no sonographic evidence of @entity18767 at the time of initial ultrasonography. Screening ultrasonographic findings were positive for injury in 19 of 44 @entity1 on the basis of parenchymal findings or small retroperitoneal collections of fluid thought to be indicative of @entity130 . In the remaining 25 @entity1 , screening ultrasonography showed no abnormalities, and injuries were detected by repeated ultrasonography, subsequent computed tomography, or diagnostic peritoneal lavage performed for suspected @entity130 on the basis of clinical parameters. In addition, 47 of 126 injured @entity1 with sonographically detected free fluid had parenchymal findings that helped @entity130 . Sixteen of those @entity1 were taken to the operating room on the basis of clinical and sonographic findings without undergoing computed tomography. CONCLUSIONS: The inability to show injuries with no @entity18767 or with delayed @entity18767 has been shown to be a limitation of ultrasonography in @entity1 with @entity130 . In our series, 26% of all @entity1 with documented injuries had no free fluid visible on screening ultrasonography Attention to findings other than free fluid allowed detection in 43% of injured @entity1 without sonographic evidence of @entity18767 .

Importance of evaluating organ parenchyma during screening abdominal ultrasonography after XXXX .

@entity1 :: ('9606', 'Species') :: ['patients'] @entity3511 :: ('MESH:D000007', 'Disease') :: ['abdominal injury'] @entity18767 :: ('MESH:D006465', 'Disease') :: ['hemoperitoneum'] @entity130 :: ('MESH:D014947', 'Disease') :: ['localize injury', 'blunt trauma', 'traumatic injury', 'occult injury', 'trauma']
@entity130 :: (MESH:D014947,Disease) :: ['blunt trauma']
