Case List History Objectives Radiology Images Questions TRAUMA Case #2 - An 80 year old with confusion after an MVC DISCUSSION QUESTIONS: 6.) What diagnostic tests need to be done immediately? Cervical spine films (AP and lateral) to include C1 to rule out fracture. Chest X-ray: to identify rib fractures, pneumothorax, hemothorax, and contusion Ultrasound abdomen (FAST) to see if significant blood is in peritoneal cavity If no blood is noted at the urethral meatus, a Foley catheter is placed. If gross or microscopic hematuria is present, a cystogram is indicated. Rectal exam and possible proctoscopy CT scan of head CT scan of abdomen and pelvis with IV contrast and CT cystogram if also indicated.
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