RT Book, Section
A1 Adkins, Brian
A2 Stone, C. Keith
A2 Humphries, Roger L.
SR Print(0)
ID 55750690
T1 Chapter 26. Genitourinary Trauma
T2 CURRENT Diagnosis & Treatment Emergency Medicine, 7e
YR 2011
FD 2011
PB The McGraw-Hill Companies
PP New York, NY
SN 978-0-0-07-170107-5
LK accessmedicine.mhmedical.com/content.aspx?aid=55750690
RD 2024/04/24
AB Genitourinary  injuries  occur  in  10–20%  of  major  trauma  patients.  Most  of  these  injuries,  with  the  exception  of  renal  hilar  disruption  or  shattered  kidney,  are  not  immediately  life-threatening.  Because  they  are  often  accompanied  by  potentially  life-threatening  injuries  to  other  organ  systems,  however,  it  is  easy  for  the  emergency  physician  to  overlook  and  therefore  miss  signs  or  symptoms  of  urologic  injury.  Failure  to  diagnose  and  treat  these  injuries  properly  can  result  in  significant  long-term  morbidity.  Therefore,  while  evaluating  the  trauma  patient,  the  physician  needs  to  be  aware  of  clues  to  genitourinary  injury.  These  clues  include  (1)  lumbar  vertebral  or  lower  rib  fractures,  (2)  pelvic  fractures,  (3)  flank  pain  or  hematoma,  (4)  abnormal  prostate  (high  riding,  nonpalpable,  or  free  floating)  on  rectal  examination,  (5)  blood  at  the  urethral  meatus,  and  (6)  gross  hematuria.