What are the two most commonly injured organs in blunt abdominal trauma, in order?

Prepare for the Emergency Medicine In-Training Examination with flashcards and detailed questions. Each question comes with explanations and insights. Enhance your readiness for the exam!

The most commonly injured organs in blunt abdominal trauma are the spleen and liver, in that order.

The spleen is particularly susceptible to injury due to its position and vascularity; it is situated in the upper left quadrant of the abdomen and absorbs the impact of blunt force trauma effectively. Splenic injuries can lead to significant internal bleeding and are often life-threatening if not managed promptly.

The liver, being the largest solid organ in the abdomen, is also commonly injured in blunt trauma. It is located in the upper right quadrant and is highly vascular, making it prone to hemorrhage when damaged. While the liver can sustain injuries from blunt impact, its size and blood supply contribute to a higher incidence of liver injuries following trauma.

Other organs such as the kidneys and pancreas are involved in blunt abdominal trauma but occur less frequently than the spleen and liver. The kidneys, although they can sustain injuries, are less likely to be involved when compared to the liver and spleen in cases of blunt trauma. Therefore, the correct answer reflects the prevailing understanding of injury patterns associated with blunt abdominal trauma.

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