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Impaling injury - Suspected Child Abuse
See also in: Anogenital
Other Resources UpToDate PubMed

Impaling injury - Suspected Child Abuse

See also in: Anogenital
Contributors: Mary Spencer MD, Noah Craft MD, PhD, Ann Lenane MD, Amy Swerdlin MD, Manasi Kadam Ladrigan MD, Carol Berkowitz MD
Other Resources UpToDate PubMed

Synopsis

Although genital injury is not uncommon, it often elicits anxiety from parents of injured, young children. In childhood, the main cause of penetrating perineal injury is impalement. However, in every case of vaginal, anorectal, penile, or scrotal injury, sexual abuse must be ruled out.

There have been documented cases of impalement on broom or toilet-brush handles, pogo sticks, chair legs, bicycle seat poles, sprinklers, high jump bars, and tree branches.

Codes

ICD10CM:
T76.22XA – Child sexual abuse, suspected, initial encounter

SNOMEDCT:
283529008 – Puncture wound of genitalia

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Diagnostic Pearls

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Differential Diagnosis & Pitfalls

Best Tests

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Management Pearls

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Therapy

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References

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Last Updated:02/10/2015
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Impaling injury - Suspected Child Abuse
See also in: Anogenital
A medical illustration showing key findings of Impaling injury : Abrasion, Female genital, Laceration, Male genital
Copyright © 2022 VisualDx®. All rights reserved.