Bladder injury Quiz: Ace Your Exams
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A 46-year-old man is brought to the emergency department by EMS after a high-speed motor vehicle accident. He was the restrained driver of a vehicle when he was struck from the driver’s side by another car traveling at 55 mph. The patient has pelvic pain and lower abdominal pain. The patient's Glasgow Coma Scale is 15. He has severe pelvic pain. Temperature is 37.0°C (98.6°F), pulse is 110/min, respiratory rate is 22/min, blood pressure is 154/88 mmHg, and oxygen saturation is 98% on room air. Examination of the abdomen reveals a distended abdomen with suprapubic tenderness and ecchymosis across the pelvis. Examination of the pelvis demonstrates diffuse tenderness to palpation with associated crepitus and laxity. A high-riding prostate is noted on digital rectal examination. Pulses are 2+ and symmetric in the lower extremities. Neurologic exam is grossly intact. Which of the following best explains the prostatic examination findings in this patient?
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