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    A trauma patient presents with ecchymotic scrotum and palpable enlarged prostate on DRE. According to ATLS protocol, what should be avoided?
    Question

    A trauma patient presents with ecchymotic scrotum and palpable enlarged prostate on DRE. According to ATLS protocol, what should be avoided?

    A.

    FAST examination

    B.

    Gastric tube insertion

    C.

    IV fluid resuscitation

    D.

    Urinary catheter insertion

    Correct option is D

    Signs of urethral injury (blood at meatus, scrotal ecchymosis, high-riding prostate) → avoid urinary catheterization until urethrogram is done.
    Explanation of options: (a) ✘ FAST is safe for intra-abdominal bleed detection. (b) ✘ Gastric tube insertion is not contraindicated. (c) ✘ IV fluids are life-saving in trauma. (d) ✔ Correct; catheterization contraindicated until urethral injury excluded.

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