Challenge: What's your diagnosis?
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Monday, January 21, 2013
Ring
A 70 year old gentleman is struck by a car while walking across the street. Upon arrival to the trauma bay, he is tachycardic, tachypneic, hypotensive, and altered. He is in a great amount of pain around his hips, back, and lower abdomen. On examination, you note blood at the penile meatus. You obtain a plain AP X-ray:
Challenge: What's your diagnosis?
Image shown under GNU Free Documentation License.
Challenge: What's your diagnosis?
Image shown under GNU Free Documentation License.
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2 comments:
Open book fracture
yep yep!
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Ring
This is an open book pelvis fracture. Note the significant diastasis in the symphysis pubis. Pelvic ring fractures often involve two fracture locations, are associated with hemorrhage, and can cause urethral disruption (leading to blood at the meatus and a high riding prostate).
Sources: UpToDate, Wikipedia.
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