RT Book, Section A1 Arpilleda, Joyce C. A2 Schafermeyer, Robert A2 Tenenbein, Milton A2 Macias, Charles G. A2 Sharieff, Ghazala Q. A2 Yamamoto, Loren G. SR Print(0) ID 1105681325 T1 Genitourinary Trauma T2 Strange and Schafermeyer's Pediatric Emergency Medicine, 4e YR 2014 FD 2014 PB McGraw-Hill Education PP New York, NY SN 978-0-07-182926-7 LK accesspediatrics.mhmedical.com/content.aspx?aid=1105681325 RD 2024/03/29 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 who present 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.