ABI < or = 0.

90 diagnostic of occlusive PAD with 90% sens, 95% sec

in s!"to"atic ts

Arterial #$ of &s is less sensitive and less seci'c

$usected urethral in(ur!)

*+lood at urethral "eatus
*igh riding rostate on D-&
*ina+ilit! to coid
irst $te) Retrograde urethrogram

Pulmonary contusion: arench!"al

arench!"al +ruising of the lung
/* ri+ fracture
 1ach!nea,
 1ach!nea, tach!cardia, h!o2ia
h!o2ia develoing
develoing in "inutes *34hrs
Ph!sical e2a") chest wall +ruising, decreased lung sounds over
contusion
6-) atch! irregular alveolar in'ltrate
1 can hel "a7e earl! D2
AB8) h!o2e"ia
h!o2e"ia  +! itself is indication to susect ul" contusion in
trau"a ts

at e"+olis")
ong +one fracture
f racture
 1ach!nea,
 1ach!nea, tach!cardia, :P;tension,
:P;tension, A$, thro"+oc!toenia,
thro"+oc!toenia,
etechiae

Ileus 33 vagal r2n due to ureteral colic

*needle shaed cr!stal
cr!stal on #A indicate uric
uric acid stones radiolucent
radiolucent on
a+d 2ra!>
*1 or I?P to visuali@e uric acid stones

ische"ic colitis)
*co"licates % of rocedures
rocedures on aortoiliac
a ortoiliac vesselsie AAA reair>
*  in distal left colon
*dull ain over ische"ic +owel and he"atoche@ia
*olonosco! charactericall! shows discrete segment of cyanotic
mucosa and hemorrhagic ulcerated bowel
1) +owel wall thic7ening

-etrohar!ngeal
-etrohar!ngeal a+scess)
eared
eared co"lication) sread to "ediastinu"
  can lead to acute necroti@ing "ediastinitis
"ediastinitis

!oarath!roidis")
haracteri@ed +! h!ocalce"ia and h!erhoshate"ia in resence of 
nor"al renal function