A 25-year-old male presents to emergency dept. following a road traffic accident. On examination, there is pelvic fracture and blood at urethral meatus.Following are true about pt except –
**Core Concept**
The question is testing the understanding of **urethral injury**, a common complication of **pelvic fractures**, particularly in the context of high-impact trauma such as road traffic accidents. Urethral injuries can lead to significant morbidity if not recognized and managed promptly.
**Why the Correct Answer is Right**
Given the context of a pelvic fracture and blood at the urethral meatus, the patient is at high risk for a **urethral disruption** or **transection**. The presence of blood at the urethral meatus is a classic sign of urethral injury. In such cases, a **retrograde urethrogram** is typically performed to assess the integrity of the urethra before any attempts at catheterization.
**Why Each Wrong Option is Incorrect**
**Option A:** This option is incorrect because it is not provided.
**Option B:** This option is incorrect because it is not provided.
**Option C:** This option is incorrect because it is not provided.
**Option D:** This option is incorrect because it is not provided.
**Clinical Pearl / High-Yield Fact**
A key point to remember in the management of suspected urethral injuries, especially with pelvic fractures, is to avoid immediate catheterization without imaging, as this can exacerbate the injury. Instead, a retrograde urethrogram should be performed to evaluate the urethra.
**Correct Answer:** D. None of the above options are provided to evaluate.