university of pretoria
Post on 19-Jan-2016
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University of Pretoria
DR. K.K. IJANE
RENAL AND UROGENITAL TRAUMA
OUTLINE
• ANATOMY• RENAL INJURY • URETERIC INJURY• BLADDER INJURY• URETHAL INJURY• PENILE INJURY• TESTICULAR INJURY
KUB
KIDNEY
BLADDER & URETHRA
PLEVIS & URETHRA
TRAUMA
ATLS PRINCIPLES
DIAGNOSIS
• HISTORY• TIME• SETTING• PAST RENAL SURGERY• KNOWN RENAL ABNORMALITIES• ASSOCIATED INJURIES
(safety first, both to EMS and patient)
MECHANISM OF INJURY
• BLUNT TRAUMA–MVA– FALL FROM HEIGHTS
• PENETRATING INJURY– GSW– KNIFE
• IATROGENIC INJURIES
GRADING
GRADING
IMAGING
IMAGING
IMAGING
ANGIOGRAM
INTRAVENOUS PYELOGRAM
URETERIC INJURY
URETERIC INJURY
IVP
BLADDER INJURY
BLADDER INJURY
BLADDER INJURY(extraperitoneal)
BLADDER INJURY (intra-peritoneal)
URETHRAL INJURY
URETHRAL INJURY
URETHRAL INJURY
PENILE INJURY
RACCOON WALRUS
PENILE FRACTURE
PENILE INJURY
PENILE INJURY
PENILE INJURYY
TESTICULAR INJURY
TESTICULAR INJURY
• PENETRATING
• BLUNT– Disruption of tunica
(immunogenic infertility)
THANK YOU
?
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