Genitourinary trauma: Difference between revisions
Ostermayer (talk | contribs) (Text replacement - "Hypotension " to "Hypotension") |
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**Blunt Trauma | **Blunt Trauma | ||
***Gross hematuria | ***Gross hematuria | ||
***Hypotension and any degree of hematuria | ***[[Hypotension]]and any degree of hematuria | ||
***Child with >50rbc/HPF | ***Child with >50rbc/HPF | ||
***High index of suspicion for renal trauma | ***High index of suspicion for renal trauma | ||
Revision as of 13:10, 10 March 2017
Upper Tract Injuries (kidney + ureter)
- Majority of blunt trauma injuries present with hematuria
- Renal pedicle injuries and penetrating injuries to ureter may not cause hematuria
- Renal injuries are associated with flank hematoma, lower rib fracture, penetrating wounds to flanks
Evaluation
- Who to image?
- Penetrating Trauma
- Any degree of hematuria
- Blunt Trauma
- Gross hematuria
- Hypotensionand any degree of hematuria
- Child with >50rbc/HPF
- High index of suspicion for renal trauma
- Deceleration injuries even with no hematuria
- Multiple trauma patient
- Penetrating Trauma
Types
Lower Tract Injuries (bladder + urethra + genitalia)
- Often accompany pelvic fracture
Genitourinary Trauma
- Urinary system
- Genital
- Other
- Child abuse
- Pelvic fracture (often accompanies)
- Sexual assault
Differential Diagnosis
Abdominal Trauma
- Abdominal compartment syndrome
- Diaphragmatic trauma
- Duodenal hematoma
- Genitourinary trauma
- Liver trauma
- Pelvic fractures
- Retroperitoneal hemorrhage
- Renal trauma
- Splenic trauma
- Trauma in pregnancy
- Ureter trauma