Professional Documents
Culture Documents
Trauma
Is an emergency condition
Need immediate management
Early diagnosis is important to
prevent complication
Usually associated with other
organ injuries :
Brain
Abdominal organs
Bone fracture
Renal Trauma
Most common
Etiology :
1.
Blunt Trauma
2.
Traffic Accident
Falling from Height
Sport injuries, Fight
Penetrating Trauma
Stab wound
Gunshot wounds
Renal Trauma
Renal Trauma
DIAGNOSIS
A. History of Illness :
Hystory of Trauma
Mechanic
B. Clinical Sign :
General Status
General condition
Pale, sign of shock
Associated injury :
Renal Trauma
Urological Status
Flank :
- Hematom, Wound
- Mass / Bulging
- Tenderness
Hematuria
- Microscopic
- Macroscopic
C. Laboratory
- Hb, Ht
- Urinalysis Hematuria
D. Radiology
- KUB -IVU
- CT Scan
- Arteriography
Schema of Renal
Trauma
Renal Trauma
Renal
Trauma
Shock (+)
Shock(-)
Resuscitation
KUB - IVU
Shok (+)
Shock (-)
Not Informative
Operatio
n
CT-scan
Extravasations
Observation
Operation
Operatio
Renal Trauma
Therapy
Resuscitation
Conservative
Operative :
Repair
Nephrectomy
Ureteral Trauma
Rare
Etiology :
Iatrogenic :
Pelvic operation
Gynecology
Endoscopy
Penetrating (Stab/gunshot)
trauma
Ureteral
Trauma
Ureteral
Trauma
Therapy
Distal ureter :
Middle ureter :
Uretero-ureterostomy
Implantation to the bladder
Uretero-ureterostomy
Trans-uretero-ureterostomy
Proximal ureter :
Uretero-ureterostomy
Nephrectomy
Autotransplantation
Bladder Trauma
Etiology
Clinical Symptoms
History of Trauma
Sign, suprapubic hematom / pubic
Haematuria
Peritonitis.
Bladder
Trauma
Laboratory
Radiology
Urinalysis : haematuria
Pelvic Photo Fracture
Cystography
Therapy
Repair
Urethral Trauma
Anterior Urethral Trauma
Clinical Signs :
Straddle Injury
Instrumentation
Blood from urethral meatus
Hematom, perineal pain
Urinary retenstion
Radiology : urethrogram
Therapy : immediate repair
Anterior Urethral
Trauma
Posterior Urethral
Trauma
Etiology
Clinical Symptoms
Radiology
Pelvic Photo
Urethrogram
Therapy
Sistostomy
Repair 3-4 days later.
Posterior Urethral
Trauma