Trauma

Question 1

Rate of HTN after renal injury

Answer 1

5%

Question 2

Investigations after renal injury

Answer 2

US and DMSA at 3-6 months

Question 3

Follow up after renal injury

Answer 3

If ongoing bleeding pain lieu’s suspected other injury the re image
Us and DMSA at 3 months
Monitor hypertension
Contact sports advice AAP no restriction non contact sports

Question 4

% ureteric injuries heal with JJ stent or neph

When to do repair

Answer 4

40%
Do repair less than 7 days or if more than 7 days do neph or stent

6 weeks to 3 months later

Question 5

Urethral injury principles (4)

Answer 5

Drainage
Define anatomy
Establish urethral continuity
Avoid incontinece and impotence

Question 6

Indications for primary urethral repair within 48 hours

BOAST guidelines

Answer 6

Associates ano rectal injury
Perineal degloving
Bladder neck injury
Massive bladder displacement
Penetrating trauma anterior urethra

Question 7

BOAST recommended repair urethral injury time lapse

Answer 7

3 months posit injury in adult males
Primary realignment not recommended during fracture surgery
Adequate reduction bony ring indirectly realigns urethra