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ATLS Exam
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A 22-year-old male presents after being crushed between two vehicles. He has an unstable pelvic fracture and, on physical examination, blood is noted at the urethral meatus. What is the most appropriate initial diagnostic step to evaluate the urinary tract?
Perform a retrograde urethrogram (RUG).
Immediately attempt to place a Foley catheter.
Obtain an urgent urology consultation for suprapubic catheter placement.
Perform a CT cystogram.
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Correct Answer:
Perform a retrograde urethrogram (RUG).
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