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Urinary Tract Injury

Injuries


Presentation

  • Seven patients presented with vesicovaginal fistulas (43%), of which one healed spontaneously. Eight patients had ureterovaginal fistulas.[ncbi.nlm.nih.gov]
  • Includes "Cardinal Presentations" sections that provide quick and easy guidance on differential diagnosis and directed testing.[books.google.com]
Flank Mass
  • Other signs of urinary tract trauma include crepitus and a flank mass. Bladder rupture leads to severe pain in the hypogastrium on palpation or swelling from extravasation of blood and urine in the suprapubic area.[medical-dictionary.thefreedictionary.com]
  • Halsell RD II 60 pts Prospective Blunt criteria: blunt abdominal trauma, hematuria 5RBC/hpf, low rib fractures, T12-L3 transverse process fractures, fall 10’, flank mass, tender flank.[east.org]
Gangrene
  • In other instances, placing obstructing rings around the base of the penis may lead to gangrene and urethral injuries. The obstructing objects can be removed without further damage.[ucsfhealth.org]
Intravenous Administration
  • The report states that lower urinary tract injuries may be detected by intravenous administration of 5 mL of indigo carmine, allowing the bladder to be filled with blue-dyed urine. Ureteral or bladder leaks allow spillage of dye into the pelvis.[aafp.org]
Abdominal Rigidity
  • . - Varying degree of abdominal rigidity and distension and sometimes shifting dullness. - P/R examination: bulging of rectovesical pouch. 11. INJURIES TO URINARY BLADDERINJURIES TO URINARY BLADDER  Investigations: i.[slideshare.net]
  • Signs of peritoneal irritation (abdominal rigidity, rebound tenderness, and voluntary guarding) may also be present because of extravasation of blood or urine into the peritoneal cavity.[medical-dictionary.thefreedictionary.com]
Absent Bowel Sounds
  • Absent bowel sounds and signs of peritoneal irritation, indicating a possible intraperitoneal bladder rupture. Bruising in suprapubic region. Swelling of the scrotum, perineum, abdominal wall and/or thighs may occur.[patient.info]
Hypotension
  • Presenting features There may be hypovolaemia, hypotension and shock. Clinical signs of bladder injury are relatively nonspecific. The following may occur: Macroscopic haematuria.[patient.info]
  • Previous studies indicated that hypovolemia, hypotension, sepsis, the use of nephrotoxic drugs, contrast media and urinary obstruction were AKI risk factors in UTI patients [ 23, 24 ].[journals.plos.org]
  • Portable films were obtained 5-10 minutes following the injection. 19 patients (47.5%) were hypotensive (BP 90 mm Hg. Before this, 19 patients put in 36 gunshot wounds, 4 stab wounds.[east.org]
Grey Turner's Sign
  • Inspect the lower back and flank for Grey-Turner’s sign or bruising because of a retroperitoneal hemorrhage. Note any abdominal distention. To identify lower urinary tract trauma, inspect the urinary meatus to determine the presence of blood.[medical-dictionary.thefreedictionary.com]
Upper Back Pain
  • Nursing home residents suffering from kidney-affected urinary tract infections also have a variety of symptoms and signs that include shaking/chills, high fever, vomiting, nausea, side pain and upper back pain.[rosenfeldinjurylawyers.com]
Type A Personality
  • Continue Reading » Published: December 4, 2017 Category: News When you need to go, you need to go – unless you’re the type of person who has a hard time telling.[spinalcordinjuryzone.com]
Swelling of the Scrotum
  • Swelling of the scrotum, perineum, abdominal wall and/or thighs may occur. Investigations The decision regarding radiographic imaging is based on the clinical findings and the mechanism of injury.[patient.info]
Clear Vaginal Discharge
  • Fistulae may likewise be manifested by a clear vaginal discharge or may be preceded by fever, leukocytosis or abdominal or flank pain.[aafp.org]
Red Urine
  • urine) Note : The appearance and smell of your urine may change because of changes in your diet or fluid intake.[sci-info-pages.com]
Neglect
  • As a result of improper training, and/or poor management, the nursing home often provides inadequate levels of supervision, leading to abuse and/or neglect.[rosenfeldinjurylawyers.com]
  • .  If neglected and delayed cases with massive extravasation leads to infection in scrotum, lower abdomen. 29.[slideshare.net]

Workup

  • Ped Clin North Am 48:1539–1557 CrossRef Google Scholar Mingin GC, Hinds A, Nguyen HT, Baskin LS (2004) Children with a febrile urinary tract infection and a negative radiologic workup: factors predictive of recurrence.[link.springer.com]
  • Peterson NE III Retrospective review of 157 penetrating; 225 blunt pts Workup consisted of IVP, retrograde cysto- urethrography; occasional arteriography and CT.[east.org]
Ground Glass Appearance
  • . • Haziness or ground glass appearance in lower abdomen due to extravasated blood and urine. i.[slideshare.net]

Treatment

  • These injuries require urgent treatment and close teamwork between urologic and orthopaedic surgeons.[ncbi.nlm.nih.gov]
  • Kidney Injuries Treatment for kidney injuries depends on the type and severity of the injury, and whether the patient has any other injuries.[ucsfhealth.org]
  • Anytime there is a failure to diagnose a UTI in a timely manner and start treatments, it can lead to devastating results including serious harm, or death.[rosenfeldinjurylawyers.com]
  • Promising treatments In the future it will be possible to regenerate muscle with stem cells. Anterior root stimulators may become an alternative treatment to restore functional voiding.[cmej.org.za]

Prognosis

  • […] anterolaterally extraluminal contrast into perivesical space (simple) molar tooth sign extension of extraluminal contrast to the thigh, scrotum or perineum (complex) combined mixed features of intraperitoneal and extraperitoneal rupture Treatment and prognosis[radiopaedia.org]
  • Erectile dysfunction occurs in 20-60% of patients after traumatic urethral rupture. [ 9 ] Prognosis Traumatic bladder ruptures were once uniformly fatal. They are currently usually managed successfully.[patient.info]
  • Lack of fever may contribute to lower resistance to infection, delayed recovery [ 17 ], higher mortality rate, and poor prognosis [ 46 ].[journals.plos.org]

Etiology

  • OBJECTIVE: To perform a comprehensive literature review of the incidence, location, etiology, timing, management, and long-term sequelae of urinary tract injury in gynecologic laparoscopy for benign indication.[ncbi.nlm.nih.gov]
  • URETHRAL INJURIESURETHRAL INJURIES  Injuries of membranous urethra:  Etiology: I.[slideshare.net]
  • Etiology Bladder rupture can be categorized into five types depending on the location and extent of the rupture: Bladder contusion This is commonly seen but sometimes not classed as true rupture, since it involves an incomplete tear of the mucosa.[radiopaedia.org]
  • Incidence, etiology, and risk factors for fever following acute spinal cord injury. J Spinal Cord Med 2006;29:501-506( V ) 13) Montgomerie JZ. Infections in patients with spinal cord injuries.[minds.jcqhc.or.jp]
  • J Am Acad Dermatol 35:486–487 PubMed CrossRef Google Scholar Pandhi RK, Kumar AS, Satish DA, Bhutani LK (1984) Fixed drug eruptions on male genitalia: clinical and etiologic study.[link.springer.com]

Epidemiology

  • Finally, all primary data were collected according to procedures outlined in epidemiology guidelines to strengthen the reporting of observational studies.[journals.plos.org]
  • Scand J Urol Nephrol 148 [Suppl]:1–47 Google Scholar Giwercman A, von der Maase H, Skakkebæk NE (1993) Epidemiological and clinical aspects of carcinoma in situ of the testis.[link.springer.com]
  • Epidemiology and risk factors for urinary tract infection in patients with spinal cord injury. J Urol 2000;164:1285-1289( V ) 4) Biering-Sørensen F, Bagi P, Høiby N. Urinary tract infections in patients with spinal cord lesions.[minds.jcqhc.or.jp]
Sex distribution
Age distribution

Pathophysiology

  • Pathophysiology SCIs are common, especially in South Africa, where road accidents and violent crimes often occur. SCIs do not usually cause complete anatomical transection of the cord.[cmej.org.za]
  • Pathophysiology and Management of Fever. J Support Oncol. 2006; 4: 9–16. View Article Google Scholar 18. Kushimoto S, Yamanouchi S, Endo T, Sato T, Nomura R, Fujita M, et al.[journals.plos.org]

Prevention

  • Like with other preventive plans such as vaccination, for instance, it is important to explore the effectiveness of this new preventive approach.[clinicaltrials.gov]
  • CONCLUSION: Use of routine intraoperative cystoscopy during major gynecologic and urogynecologic surgery might prevent sequelae from lower urinary tract injuries.[ncbi.nlm.nih.gov]
  • Effective methods to prevent UTI in people with SCI have been sought for many years.[cochrane.org]
  • Of concern is the fact that most of the ureteric injuries were diagnosed post operatively which means that further vigilance and preventive strategies need to be designed. 2007 S.[karger.com]

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