38 yrs old man was thrown from his motorcycle and brought to the emergency department by emergency medical services. The paramedics report his initial blood pressure was 83/52 mm Hg , pulse was 128/min and respiratory rate was 33/min . He was given 2 L of lactated ringer’s solution en route, and medical antishock trousers was applied. On arrival to the trauma bay his blood pressure is 108/76 mm Hg, pulse is 105/min, respiratory rate is 28/min. On examination pelvic compression elicited sever pain, and blood is noted at urethral meatus.
Which of the following is the most appropriate next step in evaluating the blood at the urethral meatus?
- Abdominal U/S.
- Digital rectal examination.
- Foley catheter insertion and urinalysis.
- Intravenous pyelogram.
- Retrograde urethrogram.
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