Chapter 138 : Pediatric Genitourinary Trauma

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Question 1 of 1

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Which of the following signs or symptoms noted after a traumatic insult is suggestive of a preexisting renal abnormality?

Select the correct answer(s).

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The radiographic study that is the most sensitive for the presence of a renal injury is:

Select the correct answer(s).

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none

Following a traumatic injury, a CT of the abdomen reveals a renal lacetarion that extends into the collecting system with urinary extravasation. The injury is associated with a devitalized fragment; the grade of renal injury is:

Select the correct answer(s).

(0/0)

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An 11-year-old boy sustained a renal laceration that extended into the collecting system 2 weeks previously. He has been at home for the past week with grossly clear urine. He is at home and has the sudden onset of gross hematuria with clots. The next step is:

Select the correct answer(s).

(0/0)

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A 9-year-old boy sustained a renal laceration associated with a functional renal fragment that was completely dissociated from the kidney. He has a persistent symptomatic urinary fistula despite combined treatment with a nephrostomy tube, double-J stent, and urethral catheter. the next step is:

Select the correct answer(s).

(0/0)

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An 8-year-old boy on intravenous (IV) prophylaxis with cephazolin undergoes angiographic embolization of a traumatic arteriovenous (AV) fistula associated with a grade 4 traumatic renal injury. His urine is clear, but, on posembolization day 1 and 2, he has febrile temperature spikes to 40oC. Blood pressure is stable. Acetaminophen is given for the fever, and blood and urine cultures are obtained. The next step is:

Select the correct answer(s).

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A 2-year-old boy sustains a major renal laceration with a tear into the collecting system secondary to child abuse. He has persistent gross hematuria with clots and ileus, 5 days following his injury. CT scan reveals clot filling the renal pelvis and a significant perinephric urinoma; however, good flow of contrast is seen into the ipsilateral distal ureter. These findings are essentially unchanged from a CT scan done 48 hours earlier. Vital signs and hemoglobin are normal and stable. The next step is:

Select the correct answer(s).

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Follow-up CT imaging for a grade 2 renal injury should be performed:

Select the correct answer(s).

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Retroperitoneal (renal) exploration is recommended when:

Select the correct answer(s).

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A 12-year-old girl is involved in a bicycle MVA. A CT scan taken 2 hours following trauma reveals an isolated renal injury with no perfusion and, subsequently, no function of the left kidney. The right kidney is within normal limits. Vital signs are stable and hemoglobin is normal. The next step is:

Select the correct answer(s).

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In a patient with a preexisting ureteropelvic junction (UPJ) obstruction, gross hematuria following trauma is usually due to:

Select the correct answer(s).

(0/0)

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none

The following is an absolute indication for CT cystography following blunt trauma:

Select the correct answer(s).

(0/0)

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none

In the presence of an extraperitoneal bladder injury, consideration for open surgical intervention should be given if:

Select the correct answer(s).

(0/0)

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none

While assessing bladder function for a delayed urethroplasty, a static cystogram reveals contrast in the posterior urethra. The next step is:

Select the correct answer(s).

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A newborn has excess skin excised during circumcision, leaving a 7-mm gap between the residual penila shaft skin and the mucosal collar. The next step is:

Chapter 138 : Pediatric Genitourinary Trauma

Question 1 of 1

Time Left

Which of the following signs or symptoms noted after a traumatic insult is suggestive of a preexisting renal abnormality?

Select the correct answer(s).

(0/0)

The radiographic study that is the most sensitive for the presence of a renal injury is:

Select the correct answer(s).

(0/0)

Following a traumatic injury, a CT of the abdomen reveals a renal lacetarion that extends into the collecting system with urinary extravasation. The injury is associated with a devitalized fragment; the grade of renal injury is:

Select the correct answer(s).

(0/0)

An 11-year-old boy sustained a renal laceration that extended into the collecting system 2 weeks previously. He has been at home for the past week with grossly clear urine. He is at home and has the sudden onset of gross hematuria with clots. The next step is:

Select the correct answer(s).

(0/0)

A 9-year-old boy sustained a renal laceration associated with a functional renal fragment that was completely dissociated from the kidney. He has a persistent symptomatic urinary fistula despite combined treatment with a nephrostomy tube, double-J stent, and urethral catheter. the next step is:

Select the correct answer(s).

(0/0)

Select the correct answer(s).

(0/0)

Select the correct answer(s).

(0/0)

Follow-up CT imaging for a grade 2 renal injury should be performed:

Select the correct answer(s).

(0/0)

Retroperitoneal (renal) exploration is recommended when:

Select the correct answer(s).

(0/0)

Select the correct answer(s).

(0/0)

In a patient with a preexisting ureteropelvic junction (UPJ) obstruction, gross hematuria following trauma is usually due to:

Select the correct answer(s).

(0/0)

The following is an absolute indication for CT cystography following blunt trauma:

Select the correct answer(s).

(0/0)

In the presence of an extraperitoneal bladder injury, consideration for open surgical intervention should be given if:

Select the correct answer(s).

(0/0)

While assessing bladder function for a delayed urethroplasty, a static cystogram reveals contrast in the posterior urethra. The next step is:

Select the correct answer(s).

(0/0)

A newborn has excess skin excised during circumcision, leaving a 7-mm gap between the residual penila shaft skin and the mucosal collar. The next step is:

Select the correct answer(s).

(0/0)

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