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EMU 365: Best Emergency Medicine Articles of the Year 2018

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lunes, 3 de septiembre de 2018

Genitourinary Trauma

emDocs - September 03, 2018 - By Arthur J.,  Chadwick S & Ellington C
Edited by Koyfman A and Long B
"Key points
  • GU trauma is common, occurring in 10% of traumas.
  • The classic teaching of high riding prostate, perineal hematoma, and pain with or inability to urinate is not sensitive for GU trauma.
  • Gross hematuria should prompt consideration of GU trauma.
  • Timing of contrast is critical to assessing the GU system for injury.
  • Conventional cystography is equally as sensitive as CT cystography.
  • A RUG should be performed prior to catheterization among patients with gross hematuria, inability to void, or a high index of suspicion for urethral injury.
  • Ultrasound is the primary imaging modality for the penis and scrotum."