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.
Blood transfusions are often needed to treat a spleen injury, and sometimes surgery to remove or repair the spleen is done. Because of the spleenâs position in the upper left side of the abdomen, a severe blow to the stomach area can damage the spleen, tearing its covering, the tissue inside, or both. hematoma of the spleen does not bleed into the abdomen at first but may rupture and bleed in the first few days after injury, although rupture sometimes does not occur for weeks or months. An injured or ruptured spleen can make the abdomen painful and tender. Blood in the abdomen acts as an irritant and causes pain.