HTHSCI 2F03 Lecture Notes - Lecture 6: Urinary Catheterization, Spongy Urethra, Pelvic Fracture

• School: McMaster University
• Department: Health Sciences
• Course: HTHSCI 2F03
• Professor: Bruce Wainman

Document Summary

All require exploration as tract may be deeper than it appears. Have a high index of suspicion for taking to theatre. Check for fluid in the abdomen, pelvis and pericardium. Can be extended to look for pneumothoraces. May be better for identifying injury to hollow viscus. Midline incision through skin and fascia @ 1/3 distance form umbilicus to pubic symphysis (arcuate line). Carefully dissect to the peritoneum and insert a urinary catheter. Drain fluid back into bag and send sample to lab. Early mx of abdominal trauma should focus on damage control to limit physiological stress. Shoulder tip pain 2o to blood in the peritoneal cavity. Left kehr sign is classic symptom of ruptured spleen. Suture lac or partial / complete splenectomy. Intraperitoneal rupture requires laparoscopic repair c urethral and suprapubic drainage. Extraperitoneal rupture can be treated conservatively c urethral drainage. Blood in the urethral meatus or scrotum.