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- 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:
- 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.
