A patient with spontaneous retroperitoneal hemorrhage may present with a number of clinical signs and symptoms.
Lenk's triad:
(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
(2) hematuria
Laboratory findings:
(1) falling hemoglobin
(2) coagulation abnormalities (if due to coagulopathy or anticoagulant therapy)
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Specialty: Hematology Oncology, Clinical Laboratory, Emergency Medicine
ICD-10: ,