pancreas kidney spleen liver emergency notary public petitoneum pertonotis bowel intestine penetration wound stab trauma abdomen splenic injuries liver injuries renal injuries grades of renal injuries grades of pancreas injuries grades of spleen injuries grades of liver injuries penetrating injuries blunt trauma lobular breast cancer carcinoma in situ ductal carcinoma breast cancer obstructive hypovolemia sepsis shock blood loss septic hypovolemic
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