Definition of wake up and smell the coffee/roses. US, informal. : to realize the truth about one's situation : to become aware of what is really happening These problems are not going to fix themselves. Voters need to wake up and smell the coffee and elect someone who will get things done.
Signs and symptoms. In minor injuries with little bleeding, there may be abdominal pain, tenderness in the epigastrium and pain in the left flank. Often there is a sharp pain in the left shoulder, known as Kehr's sign. In larger injuries with more extensive bleeding, signs of hypovolemic shock are most prominent.
Signs and symptoms of a ruptured spleen include: Pain in the upper left abdomen; Tenderness when you touch the upper left abdomen; Left shoulder pain, particularly if you also have cuts and bruises on the left chest or side; Confusion, lightheadedness or dizziness; When to see a doctor. A ruptured spleen is a medical emergency. Seek emergency care after an injury if your signs and symptoms indicate you may have a ruptured spleen.