injuries poisoning
Pelvic Fractures
Symptoms and Signs of Pelvic Fractures
Most patients with a pelvic fracture have groin and/or lower back pain. Compression of the pubic symphysis or simultaneous compression of both anterior superior iliac spines is usually painful, particularly in severe fractures, and may indicate instability. Depending on the severity of the fracture, patients may or may not be able to walk. Signs of genitourinary and/or gynecologic (usually vaginal) injuriesinclude Blood at the urethral meatus Scrotal or perineal hematoma Hematuria Anuria A high-riding prostate Vaginal bleeding Intestinal or rectal injuriescan cause Abdominal or pelvic pain Rectal bleeding Later development of peritonitis Neurologic injuriescan cause Weakness or loss of sensation and reflexes in the lower extremities, rectum, or perineum Incontinence Urinary retention Mortality rate is high when fractures are unstable or posterior or when they cause hemorrhagic shock. 