University of Pretoria

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Presentation transcript:

University of Pretoria

  RENAL AND UROGENITAL TRAUMA DR. K.k. ijane

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 PENETRATING INJURY 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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