Authors: Helen Blackhurst / Editor: Jason M Kendall / Reviewer: Mehdi Teeli, Rebecca Ford / Codes: ACCS LO 2, SLO3, SuP1, TP5, UP5, UP6 / Published: 19/03/2021 / Reviewed: 15/05/2025
A 37-year-old man is brought into the emergency department (ED) following a road traffic collision. He was the driver of a mini, which spun off the road, hit a tree and rolled into a ditch. He was trapped in the car for 90 minutes and had to be cut out by the emergency services.
On examination he is conscious. His primary survey is normal. He is complaining of right-sided abdominal pain. There is evidence of bruising over the right flank, his abdomen is soft, bowel sounds are present, and he is tender over the area of bruising.
He undergoes CT abdomen as part of his initial assessment:
CT shows a right perinephric haematoma. The patient has microscopic haematuria (3+ of blood on urine dipstick testing).
19 responses
Good module. Simple and straight to the point
excellent
very informative
Very useful
very helpful and concise
Concise and very useful
Its reminds us the importance of a “Urine dip” and when not to do a CT abdomen in a blunt abdominal trauma patient.
very good case
Interesting module. Good to refresh the memory but also re-iterates the role of evidence-based decision making rather than “straight to pan-scan.”
nice case
yes
Very Nice session
Very helpful, many thanks
good case
Learnt a lot!
helpful
GOOD MODULE , THANKS
good one
Concise