RT Book, Section
A1 Hankin, Mark H.
A1 Morse, Dennis E.
A1 Bennett-Clarke, Carol A.
SR Print(0)
ID 1145871894
T1 Perineum
T2 Clinical Anatomy: A Case Study Approach
YR 2017
FD 2017
PB McGraw-Hill Education
PP New York, NY
SN 9780071628426
LK accessphysiotherapy.mhmedical.com/content.aspx?aid=1145871894
RD 2024/04/19
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