BLADDER RUPTURE
BLADDER RUPTURE
BLADDER RUPTURE
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Vesna Ivancic<br />
Gillian Lieberman, MD<br />
HISTORY<br />
PHYSICAL EXAM<br />
TRAUMA SERIES<br />
SUMMARY part one<br />
Plain films: Pelvic Scout XRAY<br />
I+ CT<br />
Often done to R/O other injuries<br />
•TRAUMA (MVC, Fall)<br />
•PAIN (Abdominopelvic)<br />
•HEMATURIA (90% of IPBR) Gross<br />
more likely but can have major GU<br />
injury with only Microscopic (DEGREE<br />
DOESN’T correlate with SEVERITY)<br />
•UNSTABLE PELVIS<br />
•PELVIC FRACTURES<br />
(>95% of EPBR) (Scott et al, 1997)<br />
•Less accurate than Retrograde<br />
Cystography (Haas et al, 1999)<br />
•PELVIC FLUID is a significant<br />
predictor of BR (Morgan et al, 2000)<br />
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