Ortho-Preferred

- Physical Exam



  - Presence of Shock
  - Inspection
  - Palplation:
       - symphysis, pubic rami, iliac crests, sacroiliac;
       - bimanual compression & distraction of the iliac wings, & abduction & adduction of the hip should be done to detect instability;
       - manual traction can aid in the determination of vertical instability
               - grasp both legs and pull one caudad while pushing the other cephalad
     - Neurologic Injury
  - Associated Fractures:
       - Spine
       - Femur
  - Gyn, Urinary & Rectal Injuries:
       - RUG vs. Suprapubic catheter;
       - Rectal and Vaginal exams should be performed in order to determine whether the pelvic injury communicates w/ these structures.
               - lacerations indicate an open fracture (need for colostomy)
               - during the rectal examination, the examiner can gently palpate the sacrum for tenderness or asymmetry.



Original Text by Clifford R. Wheeless, III, MD.

Last updated by Data Trace Staff on Thursday, September 6, 2012 12:32 pm