RT Book, Section
A1 Arpilleda, Joyce C.
A2 Tenenbein, Milton
A2 Macias, Charles G.
A2 Sharieff, Ghazala Q.
A2 Yamamoto, Loren G.
A2 Schafermeyer, Robert
SR Print(0)
ID 1155168856
T1 Genitourinary Trauma
T2 Strange and Schafermeyer's Pediatric Emergency Medicine, 5e
YR 2019
FD 2019
PB McGraw-Hill Education
PP New York, NY
SN 9781259860751
LK accessemergencymedicine.mhmedical.com/content.aspx?aid=1155168856
RD 2024/04/23
AB Perform  a  urinalysis  on  all  major  trauma  patients  as  well  as  those  suspected  of  having  isolated  genitourinary  (GU)  injury.Penetrating  trauma  between  the  nipples  and  perineum  requires  resuscitation  efforts  and  careful  evaluation  for  intra-abdominal  and  renal  trauma.Renal  trauma  can  lead  to  acute  tubular  necrosis  with  renal  failure,  delayed  bleeding,  infection,  or  abscess  secondary  to  urinary  extravasation.Consider  bladder  rupture  in  children  with  abdominal  trauma  with  gross  hematuria,  blood  at  the  urethral  meatus,  inability  to  void,  or  little  urine  upon  urinary  catheter  placement.Genital  injuries  in  a  child  must  always  be  concerning  for  abuse.