MedBugs: SAQ #259

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Case: Penetrating back injury with renal trauma

A 35-year-old man sustains a single stab wound to the left side of his back. The incoming ambulance team have reported that the patient has a pulse of 130/min and a blood pressure of 95/40.

1. State six potential pathologies you may find on arrival and the confirmatory findings for each. 6 marks

2. List four blood tests you would perform with justification. 4 marks

Following your initial management, the patient was transferred to CT. A slice from the CT portal venous phase of his abdomen is provided.

3. Interpret the CT scan provided. 3 marks

4. State three options for definitive management and the clinical circumstances for each. 3 marks

5. List two late complications of this injury. 2 marks

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