Reading...
Play button
Play button
Use LEFT and RIGHT arrow keys to navigate between flashcards;
Use UP and DOWN arrow keys to flip the card;
H to show hint;
A reads text to speech;
4 Cards in this Set
- Front
- Back
|
Which is not a clinical significant fr blunt injury to renal trauma?
a. Microscopic haematuria b. Marcoscopic haematuria c. Haemodynamic unstable d. Lion tenderness |
a. microscopic haematuria
do not investigate in blunt trauma if there is no other features of injury, repeat urinalysis in 1-2 weeks to determine if this is caused by underlying renal disease * Always investigate in penetrating trauma |
|
|
Grading of renal trauma?
|
I - micro or macroscopic haematuria with normal urological study
II - haematomas confined to retroperitoneum, lac <1cm III - lac > 1cm IV - deep lac to collecting system V - renal fracture, avulsion (grade I & II non operative, grade III operative if indicate for other inj, unstable, ongoing transfusion needed, grade IV V operative) |
|
|
Which is not ture for Blunt bladder trauma?
a. >70 % areassociated with pelvic fracture b. Most injury at the dome c. CT are very sensitive for bladder injury d. Transurethral catherisation is the prefer Mx |
c. Cystosgraphy is the investigation of choice, involve 300ml contrast, Normal Abdo CT is low sen, CT cystography can be use if other abdo injury suspected
|
|
|
Signs of urethral trauma
|
- blood at penile meatus
- scortal or perineal haematoma/ collection - may track to abdo wall but not over the thigh - high riding prostate on PR exam - successful pass of IDC do no exclude injury |
