A 30-year-old male is kicked in the flank during a rugby match and develops haematuria. He is haemodynamically stable with a GCS of 15. He has mild le...

Question

A 30-year-old male is kicked in the flank during a rugby match and develops haematuria. He is haemodynamically stable with a GCS of 15. He has mild left loin tenderness. What is the significance of haematuria in the context of blunt abdominal trauma?

Accepted Answer

Haematuria indicates renal injury (or less commonly ureteric/bladder injury) - the patient requires CT with IV contrast in hospital to grade the injury and guide management

Answer

No investigation is needed if the patient is haemodynamically stable

Answer

Haematuria resolves spontaneously and does not require assessment

Answer

Haematuria only indicates bladder injury

Answer

Haematuria is always benign in young fit patients

uk-dipimc MCQ (SBA): Post-Traumatic Haematuria

A 30-year-old male is kicked in the flank during a rugby match and develops haematuria. He is haemodynamically stable with a GCS of 15. He has mild left loin tenderness. What is the significance of haematuria in the context of blunt abdominal trauma?