GU Injuries

Question 1

In which injuries to suspect renal trauma x3

Answer 1

Back, chest and abdomen

Question 2

Signs of urethral injury x5

Answer 2

Blood in urine
Inability to urinate
Pain when urinating
Blood at urethral opening
Displaced or high riding prostate

Question 3

What are renal traumas susceptible to x3

Answer 3

Contusions
Laceration
Avulsion ie tearing of renal vasculature

Question 4

Why are kids more prone to renal trauma x4

Answer 4

Their kidneys are
1. Not protected by much fat
2. Larger compared to body size
3. More anterior anatomically
4.More mobile

Question 5

Signs of renal trauma x4

Answer 5

Hematuria
Palpable mass
Grey turners signs
Abdominal or flank tenderness

Question 6

Conservative management of renal trauma x4

Answer 6

Bed rest
Antibiotics and analgesia
Increase fluid intake
Close observation

Question 7

Other management options x2

Answer 7

Nephrectomy
Angiography with embolization

Question 8

Complications of renal trauma x5

Answer 8

Urinoma
Hydronephrosis
Urine extravasation
Secondary hemorrhage
Chronic pyelonephritis

Question 9

Which injuries can cause ureter trauma x2

Answer 9

Penetrating trauma
Pelvic fracture

Question 10

Signs of bladder trauma x4

Answer 10

Oliguria
Gross hematuria
Suprapubic pain
Abdominal distension
Bruising of lower abdomen or perineum

Question 11

Complications of bladder trauma x3

Answer 11

Urine extravasation
Peritonitis
Sepsis