S21C261 - Penetrating Trauma to the Flank and Buttocks

Question 1

Flank: defn

Answer 1

-area b/w anterior and posterior axillary lines, superiorly bordered by 6th rib and inferiorly by the iliac crest

Question 2

Do DRE for all abdo and flank penetrating trauma:

Answer 2

blood in stool indicates bowel injury

Question 3

Management of abdo/flank penetrating trauma:

Answer 3

• Abx that cover gm - aerobic and anaerobic bugs

- stabilize

Question 4

Penetrating buttock trauma: factors associated with surgical intervention

Answer 4

• peritonitis
• gross hematuria
• entrance wound above level of greater trochanters
• transpelvic bullet course

Question 5

Penetrating buttock trauma: w/u and mgmt

Answer 5

• abdo and rectal exam
• neurovasc exam of lower extremities
• triple contrast CT for deep wounds
• cystourethrogram