TY - CHAP M1 - Book, Section TI - Chapter 26. Genitourinary Trauma A1 - Adkins, Brian A2 - Stone, C. Keith A2 - Humphries, Roger L. PY - 2011 T2 - CURRENT Diagnosis & Treatment Emergency Medicine, 7e 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. SN - PB - The McGraw-Hill Companies CY - New York, NY Y2 - 2024/03/28 UR - accessmedicine.mhmedical.com/content.aspx?aid=55750690 ER -