Trauma – Pelvis/Urologic

Question 0

In any pelvic fracture – rule out?

Answer 0

#Rectum damage – rectal exam and proctoscopy
#Bladder –
#Vagina – vaginal exam
#Urethra in men – retrograde urethrogram

Question 1

Management of non-expanding pelvic hematoma?

Answer 1

Leave alone

Question 2

Pelvic fractures with ongoing significant bleeding – management?

Answer 2

#Replaced blood
#External fixation to diminish bleeding
#Arteriographic embolization if arterial bleeding (will not work if Venus)
#Surgery not ideal solution

Question 3

When to work up microscopic hematuria in trauma patient?

Answer 3

If child

Question 4

Treatment for penetrating urologic injury?

Answer 4

Surgical exploration and repair

Question 5

Findings in urethral injury? Contraindicated? Management?

Answer 5

#Blood at the meatus
#Scrotal hematoma
#Sensation of wanting to avoid, but unable to do so

Foley catheter insertion

Retrograde urethrogram

Question 7

Bladder injury usually associated with what traumatic injury? Diagnosed by? Treatment?

Answer 7

Pelvic fracture

Retrograde cystogram with postvoid films to see leaks at base of bladder

Surgery with suprapubic cystostomy

Question 7

Management of scrotal hematoma?

Answer 7

No specific intervention unless testicle is ruptured (diagnosed with sonogram)

Question 8

Renal injury associated with what traumatic injury? Test? Usual interventions?

Injury affecting renal pedicle may develop into? And cause?

Answer 8

Lower rib fractures; CT scan; most do not need surgical intervention

AV fistula leading to congestive heart failure

Question 9

Fracture of the penis – fracture of what exactly? Management?

Answer 9

Corpora cavernosa; tunica albuginea

Emergency surgery