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Four important injuries. Four different imaging studies to obtain. Step 1: Obtain Pelvic X-Ray Commonly performed at bedside as part of initial trauma evaluation A pelvic injury significantly increases risk of GU injury Step 2: Examine the Perineum Common signs of GU injury Blood at urethral meatus Bruising of the perineum Step 3: Obtain Urinalysis […]

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Step 1: Does This Patient Need Surgery NOW? Obvious penetrating injury to abdomen Peritonitis Hypotensive Step 2: FAST Scan Performed with bedside ultrasound machine Blood/intra-peritoneal fluid is hypoechoic (black) in appearance Four views required Right upper quadrant Probe marker points towards patient’s head “Morrisons Pouch” Potential space between liver and right kidney Left upper quadrant […]