Virginia medical
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The clinical syndrome of penetrating injuries to the buttocks at the Medical College of Virginia has been reviewed. This syndrome may present with a spectrum of injuries, from minor soft tissue damage to serious bowel, genitourinary, or vascular damage. ⋯ Additional diagnostic studies such as proctoscopy and cystoscopy are helpful when additional preoperative information is required. When retroperitoneal and intraperitoneal injury is suspected, prompt exploration with aggressive intraoperative management is recommended.
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Computed tomography has replaced the invasive techniques of angiography and ventriculography as the diagnostic study of choice in head injury. It has proven not only accurate but extremely safe. ⋯ Respresentative examples of common lesions seen in trauma are presented along with the errors in diagnosis most frequently made and how to avoid them. The common artifacts, including movement, are also discussed.