Pelvic Trauma
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Introduction
The Case of...
Causes and Risk Factors
Pathophysiology
Pelvic fracture requires a tremendous amount of force. Head, C-spine, chest, and abdominal trauma is also quite possible.
Associated injuries are common and include:
- rectum
- bladder
- vagina
- urethra (almost always in men)
bleedins is the most terribel
Signs and Symptoms
- history
- physical exam
History
Physical Exam
Inspection: leg-length discrepancy, external rotation, scrotal hematoma
palpation: tenderness; stability is not done by everyone due to concern for
rectal exam
GU and vaginal exam
prostate
cardinal signs of an
Investigations
- lab investigations
- diagnostic imaging
Lab Investigations
Diagnostic Imaging
Urethral injury should be investigated with retrograde urethrogram and cystogram
Kidney injuries are diagnosed on CT, though IVP can be helpful if CT is not available.
Differential Diagnosis
Treatments
Control hemorrhage by:
- wrapping around the greater trochanters
- rule out abdominal hemorrhage (ie take out the spleen if bleeding)
- fixation, angiography
Consequences and Course
The Case of...
Additional Resources
Topic Development
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