trauma

Question 1

complications of trauma to the bladder

Answer 1

generealised periotnits

Question 2

iatrogenic trauma to ureters

Answer 2

during abdominal or gynecological surgery where you have to ligate the ureters

like CS -

Question 2

iatrogenic trauma to ureters

Answer 2

during abdominal or gynecological surgery where you have to ligate the ureters

like hysterectomy ( babas story) -

Question 3

what are the risky points of damaing the ureter

Answer 3

at pelvice brim as it passes over the 2 common iliac arteries

when its beneath the uterine artery

near the uterovesico junction

Question 4

whats it called when you join both the urters together

Answer 4

Transuretero-ureteronastomosis

Question 5

Ureterocalicostomy

Answer 5

done when you have a problem with the urteropelvic jucntion

Question 6

bladder injury is moslty assocated with what

Answer 6

pelvic fracture

Question 7

what to do in a pelvic fracture

Answer 7

cytsography -nb!!!!

Question 7

what to do in a pelvic fracture

Answer 7

cytsography -nb!!!!

Question 8

intrapereitoneal
extraperiotoneal bladder injury

Answer 8

intra : requires immediate surgical treatment to prevent peritonitis

extra - contrast material is only around the urinary bladder and abdomianl cavity is not affected you treat by draining the bladder with catherter for 2 weeks then do a cystogram

Question 9

is the bladder a peritoneal organ

Answer 9

its classed as a retroperitoneal organ as not all parts of it are covered in peritoneum just the top and theback

Question 10

what kind of organ is urters

Answer 10

retroperiotneal

Question 11

gold standard for bladder injury and other options

Answer 11

retrograde ureterocystography - gold

cystograohy

Question 12

symptoms of bladder trauma

Answer 12

suprapubic pain
urinary retention , difficulty peeing
abdominal distention
hematuria
ileus/peritonits

Question 13

causes of urethral trauma

Answer 13

external - blunt force trauma, pelvic fracture, accident or penetrating

internal- iatrogenic
- CATHETERISATION
- TURP
- EXTREME SEXUAL INTERCOURSE

Question 14

URETHRORHAGIA VS HEMATURIA

Answer 14

HEMATURIA- you see when you are peeing

rhagia - happens spontaneously

Question 15

urtehral trauma symptoms

Answer 15

pain
bleeding
dysuria
butterfly bruisng due to rupture of bucks fascia

Question 16

causes of penile fracutre

Answer 16

whilst penis is erect, its forecefully bent e.g in sexual intercourse it slips out and is ithrust against the pelvies

Question 17

signs of renal trauma

Answer 17

hematuria
pain on the affected side

Question 17

signs of renal trauma

Answer 17

hematuria
pain on the affected side

Question 18

what causes a high riding prostate

Answer 18

urtethral injuries (as blood accumulates in the space it pushes the prostate up , it causes it to feel boggy too

Question 19

posterior urethral trauma

anteriaor

Answer 19

posterior- high riding porstate, blood around the urethral meatus

anterior: pain in perineum and hemotoma

Question 20

compliactions of trauma to the tract

Answer 20

urinoma
urinary extravasation
abscess formation

Question 21

most vulnerabl part of urethrea to trauma

Answer 21

membranous

Question 22

intrapvlic urethral damage

Answer 22

posterior urethra

Question 23

most common penile surgeries

Answer 23

phimos
erectile dysfucntion - like penile prostheiss etc
penile fractures

Question 24

classifcation of trauma to theureter

Answer 24

Complete rupture
complete rupture
ligation of the Ureter
excision of part of the Ureter
perforation of the Ureter