Pediatric emergency medicine trisk 3309 3309

Resuscitation and Stabilization
A General Approach to the Ill or Injured Child: Chapter 7
Signs and Symptoms
Inguinal Masses: Chapter 39
Pain: Scrotal: Chapter 61
Vaginal Bleeding: Chapter 79
Vaginal Discharge: Chapter 80
Medical, Surgical, and Trauma Emergencies
Genitourinary Emergencies: Chapter 119

GOALS OF EMERGENCY THERAPY
The goal of emergency therapy for genitourinary injury is to maximize organ
preservation and minimize future morbidity.
To achieve these goals, the initial management of children with genitourinary
injury in the ED centers on prompt recognition and staging of injuries, followed
by appropriate urologic consultation for management and potential surgical
intervention. The recognition and treatment of children with genitourinary injury
requires an understanding of the mechanism of injury as well as signs and
symptoms associated with genitourinary injury along with appropriate use of
diagnostic imaging. To provide a comprehensive and accessible guide for
management of children with genitourinary injury, we discuss trauma of each
genitourinary organ separately yet emphasize the potential for concomitant
extrarenal injury and need for maintaining a high level of suspicion for these
associated injuries.

KIDNEY
Goal of Treatment
The principle underlying the management of pediatric renal trauma is
preservation of renal tissue and function while minimizing morbidity and
mortality. Patients who are hemodynamically unstable or have sustained severe
penetrating trauma to the kidney require immediate surgical intervention.

Management of hemodynamically stable children proceeds on the basis of
radiographic staging of the traumatic injury.
CLINICAL PEARLS AND PITFALLS