Accepted at 8:29 a.m. Jun, 13, 2024 by Ahmed7
Author: beejumm
Related Note: 1532602381777
Rationale for change

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- CT should be obtained in patients with concerning clinical findings (e.g., flank tenderness/ecchymosis) and/or mechanism of injury (e.g., direct blow to the flank) even in the absence of hematuria as it is not present in up to one-third of renal injuries

- May warrant retrograde cystourethrogram if patients have gross hematuria, difficulty urinating, blood at the meatus, or suprapubic pain (cystography for bladder rupture and urethrogram for urethra)

- IV pyelography is used for hemodynamically unstable prior to surgical evaluation
Lecture Notes
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Missed Questions
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Pathoma
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Boards and Beyond
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First Aid
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Sketchy
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Sketchy 2





Watch Blunt Abdominal Trauma: Management of Retroperitoneal Injuries




Watch Penetrating Thoracic & Abdominal Trauma


Watch Initial Trauma Assessment: Secondary Survey





Sketchy Extra
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Picmonic
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Pixorize
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Physeo
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Bootcamp
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OME

Additional Resources
- e.g. trauma + tenderness at the flank
- CT to identify renal trauma
± retrograde cystourethrogram if patients have gross hematuria, difficulty urinating, blood at the meatus, or suprapubic pain which implies urethral injury

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#AK_Step2_v12::!Shelf::Surgery::no_dupes::only_step2 !AK_UpdateTags::Step2decks::Cheesy-Dorian-(M3)::Surgery::6-AMBOSS #AK_Step2_v12::#UWorld::Step::17450 #AK_Step2_v12::#UWorld::Step::3358 #AK_Step2_v12::#SketchySurgery::02_Trauma,_Burns,_Critical_Care::03_Abdominal_Trauma::Retired_Lesson::04_Blunt_Abdominal_Trauma_3_Management_of_Retroperitoneal_Injuries_[OLD_VERSION] #AK_Step2_v12::#SketchySurgery::02_Trauma,_Burns,_Critical_Care::03_Abdominal_Trauma::07_Bladder_and_Urethra_Trauma #AK_Step2_v12::Original_decks::Dorian::surg::amboss::urology #AK_Step2_v12::#AMBOSS::tm0Xhg #AK_Step2_v12::!Shelf::#Cards_AnKing_Did::1surgery #AK_Step2_v12::#Resources_by_rotation::Surgery::amboss::dorian::urology #AK_Step2_v12::#OME::03_Pediatrics::23_Urology #AK_Step2_v12::#Resources_by_rotation::Surgery::uworld::zanki #AK_Step2_v12::#SketchySurgery::02_Trauma,_Burns,_Critical_Care::03_Abdominal_Trauma::04_Blunt_Abdominal_Trauma_3_Managment_of_Retroperitoneal_Injuries #AK_Step2_v12::#SketchySurgery::02_Trauma,_Burns,_Critical_Care::01_Intial_Assessment_of_a_Trauma_Patient::Retired_Lesson::01_Initial_Assessment_of_a_Trauma_Patient_[OLD_VERSION] #AK_Step2_v12::#Resources_by_rotation::Surgery::nbme::form_5 #AK_Step2_v12::#OME::06_Surgery::02_Trauma::06_Pelvis_Trauma #AK_Step2_v12::#Resources_by_rotation::Surgery::uworld::dorian #AK_Step2_v12::#UWorld::COMLEX::103765 #AK_Step2_v12::#AMBOSS::yvadc5 #AK_Step2_v12::Original_decks::Dorian::surg::uw #AK_Step2_v12::!Shelf::Surgery::no_dupes #AK_Step2_v12::#SketchySurgery::02_Trauma,_Burns,_Critical_Care::03_Abdominal_Trauma::05_Penetrating_Thoracic_and_Abdominal_Trauma #AK_Step2_v12::Original_decks::Zanki_Step_2::Surgery #AK_Step2_v12::#Subjects::Nephrology_&_Urology::04_Pelvic::Trauma::Kidney_Injury #AK_Step2_v12::#UWorld::COMLEX::100164 #AK_Original_Decks::Step_2::Cheesy_Dorian_(M3) #AK_Step2_v12::#Subjects::Nephrology_&_Urology::01_Kidneys::Urinalysis::*Basics #AK_Step2_v12::#OME::Clinical::03_Pediatrics::23_Urology #AK_Step2_v12::#SketchySurgery::02_Trauma,_Burns,_Critical_Care::01_Intial_Assessment_of_a_Trauma_Patient::02_Initial_Assessment_of_a_Trauma_Patient_Secondary_Survey #AK_Step2_v12::#SketchySurgery::02_Trauma,_Burns,_Critical_Care::03_Abdominal_Trauma::Retired_Lesson::06_Pelvic_Trauma_[OLD_VERSION]