Consider the diagnosis. Because urologic injuries are rarely life-threatening, diagnoses are frequently delayed, or even missed. If GU trauma is not considered in the patient with abdominal trauma, patients may suffer from significant unnecessary morbidity. Therefore, a high index of suspicion is required. A urinalysis is a very helpful screening tool to send early in any patient presenting with trauma to the abdomen, lower thorax, or flank, but it is not sufficient to rule out injury. A thorough physical examination as part of the initial secondary survey, including the perineum and genitals, will help to minimize missed diagnoses.
To continue reading, please log in or purchase access.