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INJURIES IN THE

GENITOURINARY
TRACT
Dr H R Danarto.SpB,SpU.
SYMPTOMS AND SIGNS
HEMATURIA
BACKPAIN
MEATAL BLEEDING
PERINEAL PAIN
SUPRAPUBIC PAIN
PERITONITIS
HEMATURIA
KIDNEY
URETER
BLADDER
KIDNEY INJURIES
CAUSE OF INJURIES
ANATOMY
HEMATURIA
INJURIES KIDNEY

MINOR ( 65 % )

MAYOR
TRAUMA GINJAL
Diagnose
History presence hematuria
Physical examination
Excoriation / hematoma flank
Bulging flank
Flank pain
Radilogic examination
Intravenous pyelography
Ct scan
Arteriography
MEATAL BLEEDING
URETHRA
ANTERIOR
GLANULARIS
PENDULANS
BULBOSA

POSTERIOR
MEMBRANACEA
URETHRAL INJURIES
CAUSA :

STRADDLE PERINEAL INJURIES


METAL CATETER
FRACTURE PUBIS
Diagnose
Physical exam
Meatal bleeding
Hematoma / excoriation perineal
Hematoma scrotal

Imaging
Urethrography retrograde extravasasion
contrast
Treatment
Konservative treatment
Sistostomy
Early repair urethra
Diagnose
History injury and meatal bleeding
Physical exam
Hematoma / oedema suprapubic
Suspected fract pubic
Imaging
Urethrography
Treatment
Sistostomy
Realigment
Bladder rupture
Intra peritoneal
Symptome peritonities

Extra peritoneal
Symptome retropubic pain
Diagnose
History injury and hematuria
Physical exam
Peritonities
Oedema / hematoma suprapubic
Pain suprapubic
Imaging
urethrocystography
Treatment
Konservative
Inserting cateter
Repair bladder
THANKS
SEE YOU ON CLINICAL DEPT

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