Renal, Urinary Systems, Electrolytes

Question 1

diffuse abdominal pain and dull pain in left shoulder. MVC with direct blow to lower abdomen and pelvis. guarding and abdominal tenderness. Most likely injury?

Answer 1

bladder dome rupture - causing acute chemical peritonitis with referred pain from phrenic nerve.

Question 2

MC location of urethral injury in males

Answer 2

bulbomembranous junction

Question 3

LE injury due to MVC/trauma resulting in high riding prostate, blood at urethral meatus, inability to void, perineal or scrotal hematoma. dx?

Answer 3

posterior urethral injury

Question 4

rupture or contusion of neck, anterior wall, or anterolateral wall of bladder - constitute what type of bladder injury?

Answer 4

extraperitoneal bladder injury. MCC pelvic fracture.

Question 5

MC symptoms in extraperitoneal bladder injury.

Answer 5

gross hematuria and urinary retention