Genitourinary trauma: Difference between revisions
(→DDX) |
(→Source) |
||
| Line 32: | Line 32: | ||
*[[Abdominal trauma]] | *[[Abdominal trauma]] | ||
== | ==References== | ||
[[Category:Trauma]] | [[Category:Trauma]] | ||
[[Category:GU]] | [[Category:GU]] | ||
Revision as of 04:37, 18 June 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
- 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