TY - CHAP M1 - Book, Section TI - Mimics of Abuse: Accidental Trauma A1 - Lindberg, Daniel M. A1 - Chiesa, Antonia A1 - Miller, Angie L. A2 - Knoop, Kevin J. A2 - Stack, Lawrence B. A2 - Storrow, Alan B. A2 - Thurman, R. Jason Y1 - 2021 N1 - T2 - The Atlas of Emergency Medicine, 5e AB - Genital injury can result from a fall (straddle) onto an object. A straddle injury usually causes damage to the external genitalia with unilateral bruising and swelling of labia and periurethral tissues. Occasional penetrating trauma to the hymen with internal injury can be seen. The history and the type of object involved are important historical elements. Obtain a detailed history from the child (if developmentally appropriate) separately from the accompanying parent/adult. Factors that increase concern of possible sexual abuse include no history of injury, injury in a nonambulatory child, vaginal or hymenal injury without history of penetrating trauma, history inconsistent with physical findings, and/or additional nongenital trauma. SN - PB - McGraw-Hill CY - New York, NY Y2 - 2024/03/28 UR - accessemergencymedicine.mhmedical.com/content.aspx?aid=1181050755 ER -