CRACKCast E047 - Genitourinary Trauma

Oct. 31, 2016

This episode covers Chapter 47 of Rosen’s Emergency Medicine.

1. List 6 general indicators of genitourinary trauma?

Lower urinary tract and external genitalia

• What are the four parts of the male urethra?

• What is the mechanism of an anterior urethral injury (at least 5 causes)? What is the mechanism of a posterior urethral injury?

• List 4 indications for retrograde urethrogram before foley placement?

• Describe the technique for a retrograde urethrogram?

• Classify bladder injuries and describe the mechanism of injury.

• Differentiate between extraperitoneal and Intraperitoneal bladder rupture

• Describe the indications and technique for retrograde cystogram?

• Outline the management of the different types of bladder injuries.

• List 3 clinical findings of a penile fracture

• Describe the management of penile

• Constricting devices

• Superficial hematoma

• Superficial lacerations

• Degloving injury

• Penile Fracture

• Penile amputation

• Blunt scrotal trauma

• Bites

Upper urinary tract

• What is the presentation of a ureteric injury?

• What are the indications for renal imaging in an adult trauma patient? In a pediatric trauma ?

• Describe the management of renal injuries:

• Blunt

• Penetrating

Wisecracks:

What is the most common site of urethral injuries?