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Genitourinary trauma
From WikEM
(Redirected from GU trauma)
Contents
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
- Bladder trauma
- Urethral trauma
- Testicular trauma
- Penile trauma
- Vaginal trauma
- Sexual assault
- Child abuse
Differential Diagnosis
Abdominal Trauma
- Liver trauma
- Splenic trauma
- Pelvic fractures
- Genitourinary trauma
- Retroperitoneal hemorrhage
- Renal trauma
- Ureter trauma
- Abdominal compartment syndrome
- Trauma in pregnancy
