Erm... More help, anyone?

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Wow.  I missed this lecture in trauma school.

Do I read this correctly?  Patellar percussion echoes in the bladder unless
the pelvis is fractured?  

Surely you're pulling my leg.  Or, more precisely, pounding it.

Pret


-----Original Message-----
From: trauma-list-bounces at trauma.org [mailto:trauma-list-bounces at trauma.org]
On Behalf Of Charles Brault
Sent: Wednesday, March 16, 2011 3:25 AM
To: Trauma-List [TRAUMA.ORG]
Subject: Re: Erm... More help, anyone?

I like this clinical trick :
When you mix
Bladder auscultation with
Bilateral Patela percussion

Definitely identifies discontinuity (Spef. ? )
It's quantitative (all or nothing) not qualitative
It does not tell you the severity

But
A nice one to put in the clinical Dx drawers of AMS R/O Fx

Charles
________________________________________
From: Doc Holiday [drydok at hotmail.com]
Sent: Saturday, March 05, 2011 6:05 PM
To: .Trauma List
Subject: Erm... More help, anyone?

More help, please... I need the evidence, again...

(You can't blame me, when the last time worked so well)

I am looking for evidence/articles on the utility, risk of false negatives,
etc, 
of CLINICAL examination in BLUNT TRAUMA for ruling out SIGNIFICANT pelvic 
fractures in patients who are NOT alert. I have quite a bit on clinical exam
for 
alert patients, but I need something to support/otherwise in cases when the 
patient is intubated or obtunded...

Anyone?
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