He knows what (appears to His creatures as) before or after or behind them: but they shall not compass it with their knowledge.[Q20:110]
Muhamad Na'im B Ab Razak (jacknaim) is a fresh graduate Muslim Doctor from Universiti Sains Malaysia and waiting for the enrollment into the housemanship program. Ambitious in pursuing master program in emergency and traumatology medicine and loves to spent his free time joining humanitarian missions, writing and speaks as an amateur public speaker in motivation and comparative religion. [HOME]
Answer
1) X ray shows the presence of the free air in the abdomen (pneumo peritoneum) with enhancement of double layer wall of the bowel (Ritler’s sign)
2) Blunt abdominal injury with possible bowel ruptured.
3) This patient is unstable and require emergency laparatomy. All preparation for emergency OT should be made with possibility of needed for ICU back-up.