RT Book, Section
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
SR Print(0)
ID 1181050755
T1 Mimics of Abuse: Accidental Trauma
T2 The Atlas of Emergency Medicine, 5e
YR 2021
FD 2021
PB McGraw-Hill
PP New York, NY
SN 9781260134940
LK accessemergencymedicine.mhmedical.com/content.aspx?aid=1181050755
RD 2024/04/19
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.