Professional Documents
Culture Documents
Obtain orthopaedic consultation in the ED. Reduce dislocated femoral head and fracture fragment as
soon as possible to avoid avascular necrosis.
Detailed secondary survey. Vitaal signs, shock. Mental status, urine output.
MRI
Bone scan
Immobilize patient, 2 large-bore IV lines for hydration and possible transfusion, NPO, initiate
analgesia
Tetanus immunization
Painless haematuria
Worriued of kidney or bladder cancer. Exercise. Need cystoscopy. Imaging of kidneys – ultrasound or
CT, to look for renal cell carcinoma or transitional cell carcinoma of the renal pelvis. Patients with
persistent haematuria – normal ultrasound or cystoscopy, need intravenous urography or CT uro for
detecting transitional cell carcinoma of the ureter.