A patient with spontaneous retroperitoneal hemorrhage may present with a number of clinical signs and symptoms.
(1) acute flank pain
(2) tenderness to palpation at site of hemorrhage
(3) symptoms of acute blood loss (hypotension, pallor, etc)
Additonal findings may include:
(1) acute abdominal pain
(1) falling hemoglobin
(2) coagulation abnormalities (if due to coagulopathy or anticoagulant therapy)
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Specialty: Hematology Oncology, Clinical Laboratory, Emergency Medicine