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  1. #1
    furee is offline Newbie 510 points
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    blunt abdominal trauma

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    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

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    Monsoonrain is offline Member 510 points
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    4) bilateral renal exploration through the abdomen

    For Blunt trauma to abdomen exploration is the choice.
    Prevention is better than cure

  3. #3
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    AUCMD2006 is offline Ultimate Member 6129 points
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    pt has something going on on both sides so a chance to cut is a chnace to heal
    AUCMD2006
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  4. #4
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    microphage is offline Useless Member 512 points
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    Quote Originally Posted by AUCMD2006 View Post
    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 ?
    Finally beat Super Mario Bros within 7 mins.

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    dmitrio is offline Newbie 510 points
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    arteriography perhaps?

    Quote Originally Posted by Monsoonrain View Post
    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.
    Smith & Wesson: The original point-and-click user interface.

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    Ipatiplakat is offline Permanently Banned 510 points
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    I'm really tired..

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    ************=spam deleted by moderator
    Last edited by Dru; 04-04-2007 at 08:03 PM.

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