A helicopter is dispatched to a remote location where a 35-year-old male has sustained blunt abdominal trauma in a motor vehicle collision. Upon arrival, you note the patient is hypotensive, tachycardic, and has abdominal distension with bruising on the flank (Grey Turner's sign). What is the most likely diagnosis?
The presence of hypotension, tachycardia, and abdominal distension combined with Grey Turner's sign suggests retroperitoneal hemorrhage. This is a serious condition that can result from blunt abdominal trauma. The other potential answers are not accompanied by these specific clinical signs. Splenic rupture typically presents with left upper quadrant pain and possible referred pain to the left shoulder (Kehr's sign). Hollow organ injury might present with signs of peritonitis but not specifically with Grey Turner's sign. Diaphragmatic rupture may show respiratory distress or bowel sounds in the chest, but not the signs described in this scenario.
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What is Grey Turner's sign and how is it related to abdominal trauma?
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