Genitourinary trauma: Difference between revisions
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****Multiple trauma pt | ****Multiple trauma pt | ||
===DDX=== | |||
*[[Renal Injuries]] | *[[Renal Injuries]] | ||
*[[Ureter Injuries]] | *[[Ureter Injuries]] | ||
Revision as of 04:00, 13 June 2012
Upper Tract Injuries (kidney + ureter)
- Majority of blunt trauma injuries present w/ hematuria
- Renal pedicle injuries and penetrating injuries to ureter may not cause hematuria
- Renal injuries are a/w flank hematoma, lower rib fx, penetrating wounds to flanks
Diagnosis
- Who to image?
- Penetrating Trauma
- Any degree of hematuria
- Blunt Trauma
- Gross hematuria
- Hypotension and any degree of hematuria
- Child with >50rbc/HPF
- High index of suspicion for renal trauma
- Deceleration injuries even with no hematuria
- Multiple trauma pt
- Penetrating Trauma
DDX
Lower Tract Injuries (bladder + urethra + genitalia)
- Often accompany pelvic fracture
Source
Tintinalli