Abnormal Bleeding, Bruising around the umbilicus or over the flanks can be a sign of internal bleeding Abd pain Very firm abdomen, Bleeding in the stomach or intestine, Blood in vomit or stool Black vomit or stool H/O alcohol use, Haemothorax, Difficulty in breathing Decreased breath sounds on affected side Dull sound with percussion on affected side Shock (If large amount of blood), Ectopic pregnancy, H/O pregnancy Missed menstrual cycle or any woman of childbearing age Abdominal pain Vaginal Bleeding

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