Genitourinary trauma: Difference between revisions
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===DDX===
===DDX===
*[[Bladder Injury]]
{{Lower GU trauma DDX}}
*[[Urethral Injury]]
*[[Testicular Injury]]
*[[Penile Injury]]
*[[Vaginal Injury]]


==See Also==
==See Also==

Revision as of 03:35, 4 January 2015

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

DDX

Lower Tract Injuries (bladder + urethra + genitalia)

  • Often accompany pelvic fracture

DDX

Genitourinary Trauma

See Also

Source

Tintinalli

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