Best Practice Case Studies-Study Questions (YOU HAVE GOT TO BE KIDDING ME! FOOTBALL PLAYER WITH FLANK INJURY & GROSS HEMATURIA)

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The document contains study questions related to sports medicine and trauma management, focusing on blunt abdominal trauma and renal injury in athletes. 

<strong>Study Question #1 addresses the most commonly injured organ in blunt abdominal trauma.</strong> The correct answer, as defined in the document, is <strong>B. Spleen</strong>. The spleen is the most frequently injured organ in such cases, accounting for 25% of blunt abdominal trauma injuries. In comparison, the liver is the second most commonly injured organ, representing 15-20% of cases but is associated with 50% of deaths from abdominal trauma. The kidney and intestines are less frequently injured. References supporting this information include sports medicine and emergency medicine studies highlighting the importance of suspicion in diagnosing abdominal injuries, as initial exams may not always reveal the injury.

<strong>Study Question #2 discusses the return-to-play protocol for a high school football player who sustained a renal contusion.</strong> The correct response is <strong>B. He may return to play one week after his exam is normal, and the microscopic hematuria has resolved.</strong> The document explains that most renal injuries in sports are contusions, classified as grade I according to the American Association for the Surgery of Trauma for the kidney. These injuries can typically be managed conservatively, and the resolution of hematuria is the best indicator of normal kidney function, not the creatinine level. Players can often return to sports within two to six weeks following a grade I renal contusion, with six weeks recommended for contact sports. This information is supported by references in clinical sports management literature and guides on renal trauma.

Meta Tag

Edition 3rd Edition

Related Case 3rd Edition, CASE 56

Topic Uro-Genital

Keywords

sports medicine

trauma management

blunt abdominal trauma

renal injury

spleen injury

return-to-play protocol

renal contusion

microscopic hematuria

grade I renal injury

contact sports

3rd Edition

3rd Edition, CASE 56

Uro-Genital