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Thu May 24 20:18:51 BST 2007

Cistograma y proctosig. Para comenzar.

-----Original Message-----
From: trauma-list-bounces at trauma.org [mailto:trauma-list-bounces at trauma.org]
On Behalf Of Fernando Aguilar
Sent: Wednesday, May 23, 2007 7:11 PM
To: Trauma &amp, Critical Care mailing list
Subject: PELVIC GSW

I would like to hear your approach to the following case:
Male, 32, gunshot wound to left lateral inferior flank (see picture 01), no
exit wound, arrive ER 20 min. after injury.  BP: 120/75, P: 90, SatO2: 98%,
no cristalloids given. Abdomen tender in lower quadrants. FAST Neg.  Rectal:
normotonic, feces with little blood.  Pulses: OK. Abdominopelvic x-ray taken
(see picture 02) CAT Scan shown (pictures 03, 04, 05)

My hospital is a General Hospital and is one of the 3 mayor hospital at my
country.  We manage all trauma patients.

Dr. Fernando Aguilar
General Surgeon
Calderon Guardia General Hospital
San José, Costa Rica
When treating stroke, time saved is brain saved. The Mercy Neuroscience Institute - an emergency stroke center - is equipped with the latest advanced imaging techniques & a dedicated rapid response team. Call 1-800-232-5660 or visit mercylink.org for info.

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