TY - CHAP M1 - Book, Section TI - Perineum A1 - Hankin, Mark H. A1 - Morse, Dennis E. A1 - Bennett-Clarke, Carol A. PY - 2017 T2 - Clinical Anatomy: A Case Study Approach AB - Patient PresentationA 12-year-old boy is admitted to the emergency department with complaints of a painful, enlarged scrotum and mild distention of the lower abdomen.Relevant Clinical FindingsHistoryThe patient relates that 30 hours earlier, while racing with friends, his foot slipped from the pedal of his bicycle and he came down hard, straddling the bicycle frame. He has noticed the following, subsequent to the accident:Weak urine streamMild penile pain during urinationHematuriaPhysical ExaminationResults of physical examination of the external genitalia, anterior abdominal wall, and anal region:Contusions to the scrotumSubcutaneous fluid infiltration of the scrotum and shaft of the penisSubcutaneous fluid infiltration of the inferior anterior abdominal wallNormal anal canal and peri-anal regionLaboratory TestsUrinalysis reveals erythrocytes and leucocytes.Clinical Problems to ConsiderInguinal herniaRupture of spongy urethra with extravasation of urineSexual abuse SN - PB - McGraw-Hill Education CY - New York, NY Y2 - 2024/03/28 UR - accessphysiotherapy.mhmedical.com/content.aspx?aid=1145871894 ER -