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e-CASES: Polytrauma due to road traffic accident, at 90 kmph, would appear to have been thrown over a bridge

24-year old female patient, light vehicle road traffic accident, at 90 kmph, would appear to have been thrown over a bridge.

 

In the initial examination, indeterminate abdomen with hypogastric guarding, blood creatinine at 199 micromols/l with no known previous history, stable hemodynamic status.