Pelvic Trauma
A 32-year-old man presents after a motorcycle collision with pelvic instability. He has blood at the urethral meatus, a high-riding prostate on rectal examination, and perineal bruising. Pelvic X-ray shows symphyseal diastasis and sacroiliac joint disruption consistent with an APC III injury. He is hemodynamically stable after initial resuscitation with pelvic binder. Regarding genitourinary injuries associated with pelvic fractures:
Mark each as TRUE or FALSE
Genitourinary injuries occur in 10-20% of pelvic fractures; the incidence is highest with APC (anter...
Urethral injuries are classified by location: anterior (below urogenital diaphragm - bulbar, penile)...
Genitourinary injuries are rare in pelvic fractures (less than 1%); lateral compression injuries hav...
Investigation: if blood at meatus, high-riding prostate, or perineal hematoma is present, retrograde...
Treatment: partial urethral tears may be managed with suprapubic catheter and delayed repair; comple...
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Click T (True) or F (False) for each option