TY - CHAP M1 - Book, Section TI - Genitourinary Trauma A1 - Arpilleda, Joyce C. A2 - Tenenbein, Milton A2 - Macias, Charles G. A2 - Sharieff, Ghazala Q. A2 - Yamamoto, Loren G. A2 - Schafermeyer, Robert PY - 2019 T2 - Strange and Schafermeyer's Pediatric Emergency Medicine, 5e AB - Perform a urinalysis on all major trauma patients as well as those suspected of having isolated genitourinary (GU) injury.Penetrating trauma between the nipples and perineum requires resuscitation efforts and careful evaluation for intra-abdominal and renal trauma.Renal trauma can lead to acute tubular necrosis with renal failure, delayed bleeding, infection, or abscess secondary to urinary extravasation.Consider bladder rupture in children with abdominal trauma with gross hematuria, blood at the urethral meatus, inability to void, or little urine upon urinary catheter placement.Genital injuries in a child must always be concerning for abuse. SN - PB - McGraw-Hill Education CY - New York, NY Y2 - 2024/03/29 UR - accesspediatrics.mhmedical.com/content.aspx?aid=1155168856 ER -