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EMPIRE In-Service Review > GU Trauma > Flashcards

GU Trauma Flashcards

1
Q

Trauma imaging

Renal :

Ureteral :

Bladder :

Urethral :

Testicular:

A

CTU

CTU

Cystogram

RUG/Cysto

Ultrasound

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2
Q

Indications for CTU

  1. ____ hematuria
  2. Micro hematuria with ____
A
  1. gross hematuria

2. microhematuria + hypotension

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3
Q

Must get f/up imaging for grade ____ renal lacerations

A

4-5

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4
Q

Non-expanding subcapsular hematoma without parenchymal laceration

Grade ___ kidney injury

A

1

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5
Q

Non-expanding peri-renal hematoma

Grade ___ kidney injury

A

2

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6
Q

<1cm in depth kidney laceration w/o urine extravasation

Grade ___ kidney injury

A

2

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7
Q

> 1 cm in depth kidney laceration w/p urinary extravasation

Grade ___ kidney injury

A

3

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8
Q

Parenchymal laceration through cortex & collecting system

Grade ___ kidney injury

A

4

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9
Q

Injury of renal artery or vein with contained hemorrhage

Grade ___ kidney injury

A

4

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10
Q

Completely shattered kidney

Grade ___ kidney injury

A

5

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11
Q

Complete avulsion of renal hilum with devascularized kidney

Grade ___ kidney injury

A

5

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12
Q

Treat of XGP kidney on boards

A

nephrectomy

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13
Q

In unstable patients, manage ureteral injuries with ____

A

drainage (PCN vs stent)

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14
Q

Management of traumatic ureteral contusions

A

Stenting vs resection + primary repair

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15
Q

Management of ureteral injury above iliac vessels

A

primary repair (U-U)

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16
Q

Management of ureteral injury below iliac vessels

A

reimplant

17
Q

Imaging for pt with gross hematuria + pelvic fracture

A

Retrograde cystogram (XR or CT)

use 300-400cc

18
Q

Indications to operatively repair an extraperitoneal bladder injury

A

Bladder neck injury
Foreign body
+vaginal injury
Failure of bladder drainage

19
Q

Diagnostic exam for blood at meatus after pelvic trauma

A

RUG

20
Q

Immediate management of complete pelvic fracture urethral injury with no contrast reaching bladder on RUG

A

SPT

21
Q

Immediate management of partial pelvic fracture urethral injury with some contrast reaching bladder on RUG

A

Primary realignment vs SPT

22
Q

Penetrating trauma to scrotum - management?

A

Scrotal exploration

23
Q

Ecchymosis of penis with snapping sound followed by detumescence - diagnosis?

A

penile fracture

24
Q

Imaging for penile fracture if exam is equivocal

A

penile u/s

25
Q

Penile fracture is due to a defect in _____

A

tunica albuginea

26
Q

Always evaluate the ____ during penile fracture surgery

A

urethra

9-20% of fractures have concomitant urethral injury

27
Q

Care for amputated penis

A

Wrap in saline soaked gauze, put in plastic bag, and place on ice

EMPIRE In-Service Review (6 decks)

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