blunt abdominal trauma

[furee]

A patient is brought to the emergency room following blunt abdominal injury.His vital signs are stable.he is passing grossly bloody urine and the IV pyelogram reveals minimal extravasation on the left side and nonvisualization of the right kidney.the next step in the management of thia patient should be
1) continued observation
2) retrograde pyelography
3) arteriography
4) bilateral renal exploration through the abdomen
5) right kidney exploration through a flank incision

[Monsoonrain]

4) bilateral renal exploration through the abdomen

For Blunt trauma to abdomen exploration is the choice.

[AUCMD2006]

pt has something going on on both sides so a chance to cut is a chnace to heal

[microphage]

Originally Posted by AUCMD2006

pt has something going on on both sides so a chance to cut is a chnace to heal

don't u have something better to do.. like freak out about the match ?

[dmitrio]

Originally Posted by Monsoonrain

4) bilateral renal exploration through the abdomen

For Blunt trauma to abdomen exploration is the choice.

Since one of the kidney is not visible then arterial supply is interrupted.
In blunt trauma what are the chances that it would be single vascular injury?

I would go with arteriography before exploration, which eventually will be performed.

[Ipatiplakat]

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