You’ve just arrived for a long Saturday overnight when the EMS notification pager goes off. Your first patient is a 23-year-old man who was in an altercation outside a bar. He is intoxicated, has bruises and red marks that look like shoe prints all over his abdomen, flanks, and chest, and tells you it hurts “everywhere.” On his right flank, he has a 1- by 2-centimeter wound that he thinks was made by a screwdriver. You put out a trauma page, and in the interim, you wonder: will a urinalysis really help in working up this patient? What kind of special imaging is he going to need? Should I order pre-op labs?”
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