Genitourinary trauma: Difference between revisions
(Text replacement - "fx" to "fracture") |
Neil.m.young (talk | contribs) (Text replacement - " w/ " to " with ") |
||
| Line 1: | Line 1: | ||
==Upper Tract Injuries (kidney + ureter)== | ==Upper Tract Injuries (kidney + ureter)== | ||
*Majority of blunt trauma injuries present | *Majority of blunt trauma injuries present with hematuria | ||
*Renal pedicle injuries and penetrating injuries to ureter may not cause hematuria | *Renal pedicle injuries and penetrating injuries to ureter may not cause hematuria | ||
*Renal injuries are a/w flank hematoma, lower rib fracture, penetrating wounds to flanks | *Renal injuries are a/w flank hematoma, lower rib fracture, penetrating wounds to flanks | ||
Revision as of 12:17, 12 July 2016
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 a/w flank hematoma, lower rib fracture, 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