Presentation
Perfect for radiologists who need a comprehensive reference while working on difficult cases, it presents a complete yet concise overview of imaging applications, findings, and interpretation in every anatomic area. [books.google.com]
Patients tend to present with microscopic or macroscopic hematuria and flank and/or abdominal pain. In more severe cases, hypotension and shock may be present. [radiopaedia.org]
No treatment is needed, and the patient can be discharged if no other injuries are present. The blood will clear over a few days, but may disappear and reappear a few times in the process. [regionstraumapro.com]
Entire Body System
- Pain
On this page: Acute abdominal pain Gastrointestinal abdominal pain Acute abdominal pain The following are all possible injuries or complications which can be caused by a direct impact or trauma to the abdomen. [sportsinjuryclinic.net]
For those with worse injuries and more intense pain, a prescription narcotic pain medication may be more appropriate. [wisegeek.org]
Pain The pain from a kidney injury can range from moderate to severe, depending on the extent of the damage. Typically this pain occurs in the upper abdomen, the back and/or the flank (between the rib cage and the hip). [book-med.info]
One of the most common symptoms would be pain in the area of the kidney. This can range from a dull ache to severe pain. If only one kidney was affected, then there will usually only be pain on the side of the injured kidney. [study.com]
Sportsinjuryclinic.net states that the symptoms of a bruised kidney include instant pain, pain in the lower back area, vomiting, nausea and muscle spasms in the back. [reference.com]
- Falling
It may occur after a fall or a car accident. It is not as severe an injury as a spleen laceration (or rupture). [sportsinjuryclinic.net]
Motor vehicle accidents, falls, and other high-force trauma to the abdomen or back can cause kidney injury. A significant blow may cause a kidney bruise, an injury characterized by bleeding within the kidney. [livestrong.com]
Renal Trauma Renal Fracture and Renal Laceration Incidence Up to 10% of injuries coming to emergency room with blunt trauma Causes Motor vehicle accident Contact sports Falls and fights Less often penetrating wounds Mechanism Direct blow (>80%) frequently [learningradiology.com]
[…] sporting accidents, crushing, burying or road accidents (ii) indirect causes; factors which cause sudden displacement of the kidney, its collision with the ribs or spine, ureteric tear, pedicle tear, abrupt bending of the kidney in the long axis (e.g. fall [gpnotebook.co.uk]
Related wiseGEEK Articles Discuss this Article anon982241 Post 3 I took a fall backward onto some stairs and suffered extreme pain from the fall and loss of breath. I recovered the breathing quickly and got on my feet. [wisegeek.org]
- Swelling
Ice helps prevent tissue damage and decreases swelling and pain. Compress your injury with an elastic bandage to reduce swelling. Ask your healthcare provider how to use an elastic bandage and how tight it should be. [drugs.com]
Signs and symptoms The following are signs and symptoms of a bruised kidney: Blood in the urine Abdominal pain Pain in the area between your hip and ribs (flank pain) Bruising, swelling, or seatbelt marks in the area of your kidney Home care If you've [fairview.org]
Signs and symptoms The following are signs and symptoms of renal contusion: Blood in the urine Abdominal pain Flank pain (the area between your hip and ribs) Bruising, swelling, or seatbelt marks in the area of your kidney Home care If you've had a bruise [mountnittany.org]
Immediately apply an ice pack for 15-20 minutes at a time to reduce swelling and minimize pain. Do not press on the eye itself. Repeat every 1 to 2 hours for the first 48 hours. [uvahealth.com]
Aspiration to remove pooled blood and swelling Urinalysis CBC (complete blood count) CT scan (Computed Tomography) Diagnostic Ultrasound Current practice recommendations state that all children with blunt trauma and hematuria should be imaged regardless [ksi.uconn.edu]
- Fever
Aspirin should never be used in anyone under 18 years of age who is ill with a fever. This may cause a life-threatening condition called Reye syndrome. [fairview.org]
Aspirin should never be used in anyone under 18 years of age who is ill with a fever. This may cause Reye Syndrome which can lead to severe liver damage. [mountnittany.org]
The most frequent complaints were fever and cough. Chest pain was surprisingly rare, 7 patients. Other symptoms associated to the digestive tract included nausea, vomiting, diarrhea, gastroenteritis and flank pain. [posterng.netkey.at]
IMMEDIATE REFERRAL Necessary with following S & S Signs of acute abdomen Rebound tenderness Rigidity Guarding Signs of shock Blood in the urine or stool 26 Kidney contusions& lacerations IMMEDIATE REFERRAL Necessary with following S & S Presence of fever [slideplayer.com]
Signs of Peritonitis include: Abdominal pain (that increases with movement) Abdominal rigidity Abdominal guarding Abdominal distention Diminished or absent bowel sounds Fever Chills Nausea/Vomiting Anorexia Shallow respirations [slideshare.net]
- Weakness
Call 911 Call 911 if any of the following occur: Fainting or loss of consciousness Rapid heart rate Heavy bleeding Severe abdominal pain or swelling Trouble breathing Loss of feeling or weakness in your legs Can't hold your urine (incontinence) When to [fairview.org]
Call 911 Call 911 if any of the following occur: Fainting or loss of consciousness Rapid heart rate Heavy bleeding Severe abdominal pain or swelling Trouble breathing Loss of feeling or weakness in your legs Incontinence (inability to hold your urine) [mountnittany.org]
Difficulty in breathing Shortness of breath--inability to catch breath Severe pain increasing in chest Vomiting or coughing up blood 24 Kidney contusions& lacerations IMMEDIATE REFERRAL Necessary with following S & S Prolonged discomfort, sensation of weakness [slideplayer.com]
Of the four, two are back playing; the elbow dislocation is still rehabbing, and i hope to return in a hinged knee brace before the end of the year; and the axillary nerve injury continues to have pain and profound weakness of his deltoid, and his recovery [cjsmblog.com]
Those types of trauma are very rare among children due to their weak body built and less aggression in high-contact activities. [sjosm.org]
Cardiovascular
- Thrombosis
Coel MN, Talner LB: Obstructive nephrogram due to renal vein thrombosis. Radiology 101 :573–564, 1971 PubMed Google Scholar 6. [link.springer.com]
[…] hematoma Subcapsular / perinephric hematoma usually proportional to extent of injury Wedge-shaped perfusion defect = segmental arterial injury Diffuse non-perfusion of kidney = devascularized kidney Persistent nephrogram on delayed scans = renal vein thrombosis [learningradiology.com]
Arterial thrombosis Major deceleration injuries can result in stretching on the renal artery and tearing of the vessel intima, resulting in thrombosis of the main renal artery or its segmental branches and thus causing infarction of the renal parenchyma [emedicine.medscape.com]
Tamm-Horsfall proteinuria, and renal vein thrombosis. [semanticscholar.org]
The spectrum of renal injuries include: contusion/hematoma laceration hemorrhage avulsion of the renal pedicle leading to devascularisation of the kidney pseudoaneurysm AV fistula renal artery thrombosis, transection or dissection (see article: acute [radiopaedia.org]
Musculoskeletal
- Contusion
Grade II Deep corticomedullary laceration involving the collecting system Observation or surgery Grade III Renal crush injury and/or main vascular pedicle injury Surgery Grade IV Injury of the renal pelvis or the ureteropelvic junction Surgery Renal contusion [learningradiology.com]
[…] in form of urine 3 Kidney contusions& lacerations 4 Kidney Contusions & Lacerations Usually caused by external force causing abnormal extension Degree of injury depends on extent of distension, angle, and force of blow 5 Kidney Contusions & Lacerations [slideplayer.com]
Related studies: Drugs that are associated with Kidney contusion: Kidney contusion (26 drugs) Could your condition cause Kidney contusion" Kidney contusion (21 conditions) Vitamin d side effects: Vitamin d side effects (107,038 reports) Browse side effects [ehealthme.com]
TY - JOUR T1 - Increased renal parenchymal accumulation of Tc-99m HDP in kidney contusion. [unboundmedicine.com]
Increased renal parenchymal uptake of Tc-99m HDP in this patient was thought to be due to kidney contusion. [ncbi.nlm.nih.gov]
- Back Pain
mild or severe depending on rupture Muscle guarding Low back pain Abdominal bruising, swelling, and pain Signs of internal bleeding: decreased alertness, dizziness, fatigue, blurred vision, low BP, nausea, vomiting Decreased urine output or inability [ksi.uconn.edu]
[…] and swelling Severe flank pain and back pain Blood in the urine Drowsiness, decreased alertness, including coma Decreased urine output or inability to urinate Fever Increased heart rate Nausea, vomiting Skin that is pale or cool to touch Sweating Long-term [medlineplus.gov]
- Low Back Pain
mild or severe depending on rupture Muscle guarding Low back pain Abdominal bruising, swelling, and pain Signs of internal bleeding: decreased alertness, dizziness, fatigue, blurred vision, low BP, nausea, vomiting Decreased urine output or inability [ksi.uconn.edu]
Neurologic
- Irritability
If you notice your child having nightmares, flashbacks, nervousness, irritability or any other concerning emotional symptoms please speak with the trauma surgery provider. [cincinnatichildrens.org]
Leseague's sign for irritated sciatic nerve Definition B. Kehr's sign for a ruptures spleen Term Which of the following is prevalent cause of exercise induced death: A. Anomalous origin of the coronary artery B. Hypertrophic cardiomyopathy C. [flashcardmachine.com]
If the patient has a penetrating wound with hemodynamic instability or peritoneal irritation signs, he or she must be immediately transferred to the Operating Room (OR). [ncbi.nlm.nih.gov]
- Stroke
Keep current with the latest developments in palliative care, mass casualty/epidemic disease, acute respiratory failure, non-invasive ventilation, neurocritical care, neuroimaging, hypoxic-ischemic encephalopathy, stroke and intracerebral hemorrhage, [books.google.com]
Urogenital
- Flank Pain
Flank pain after a blow to the back may indicate a kidney injury. (Image: fizkes/iStock/Getty Images) Abdominal pain commonly occurs with a bruised kidney. [livestrong.com]
Fever, dropping blood count or flank pain are indications for repeated imaging (ultrasonography or CT). [urology-textbook.com]
Signs and symptoms The following are signs and symptoms of a bruised kidney: Blood in the urine Abdominal pain Pain in the area between your hip and ribs (flank pain) Bruising, swelling, or seatbelt marks in the area of your kidney Home care If you've [fairview.org]
Signs and symptoms The following are signs and symptoms of renal contusion: Blood in the urine Abdominal pain Flank pain (the area between your hip and ribs) Bruising, swelling, or seatbelt marks in the area of your kidney Home care If you've had a bruise [mountnittany.org]
Chest pain was surprisingly rare, 7 patients. Other symptoms associated to the digestive tract included nausea, vomiting, diarrhea, gastroenteritis and flank pain. [posterng.netkey.at]
Workup
Ahn, JH, Morey, AF, McAninch, JW : Workup and management of traumatic hematuria. Emerg Med Clin North Am16: 145 – 160, 1998 Google Scholar | Crossref | Medline | ISI 2. [journals.sagepub.com]
[…] segmental arterial thrombosis, pedicle injuries, or disruption of the UPJ can even occur without hematuria in 10% of cases. [29], [30] Hematuria with positive history of blunt abdominal trauma is highly indicative for renal injury and further radiological workup [sjosm.org]
Treatment
According to MedlinePlus, treatment for a kidney injury includes bed rest for one to two weeks or until bleeding decreases. If kidney failure occurs, treatment for symptoms is needed. [reference.com]
Surgical treatment of renal injuries Few situations require immediate surgical treatment. [military-medicine.com]
Treatment: Seek medical attention immediately. [sportsinjuryclinic.net]
The degree of the injury determines the severity, symptoms and course of treatment. Any damage to your kidneys. [book-med.info]
Treatment depends on the cause and resulting symptoms. Before providing treatment, your doctor will run tests to diagnose the condition and rule out other health complications. [healthline.com]
Prognosis
Treatment and prognosis Treatment depends on the specific trauma and complications present. [radiopaedia.org]
No contrast blush or hemoperitoneum Because of the absence of hemoperitoneum or active bleeding, this patient has a good prognosis and will be managed non-operatively. Splenic injury. [radiologyassistant.nl]
[…] exploration finding are used for the classification of renal injury, according to the system of the American Association for the Surgery of Trauma (AAST) [Table 1]. [20] It is a validated classification scale for renal injuries to help in predicting the prognosis [sjosm.org]
Etiology
Certain conditions have both an underlying etiology and multiple body system manifestations due to the underlying etiology. [icd10coded.com]
< Emergency Management of Renal and Genitourinary Trauma: Best Practices Update (Trauma CME) Etiology and Pathophysiology For a summary of the types of injuries GU organs may sustain, see Table 3. [ebmedicine.net]
Etiology Blunt trauma from motor vehicle collisions, falls, and personal collisions are the leading cause of renal injury (~85%), the mechanism is from deceleration injuries from a collision of the kidney with the vertebral column or thoracic cage. [radiopaedia.org]
The presumed first reported etiology was referred pain from intercostals and diaphragmatic nerves irradiating from the pleura to the abdomen, obviously caused by basilar... 1. Gauss H-Abdominal pain in pneumonia. [posterng.netkey.at]
Epidemiology
Birrer, RB : Trauma epidemiology in the martial arts: The results of an eighteen year international survey. Am J Sports Med24: S72 – S79, 1996 Google Scholar | Abstract | ISI 3. Campbell, MF, Walsh, PC, Retik, AB (eds): Campbell's Urology. [journals.sagepub.com]
Epidemiology of renal trauma: In blunt abdominal trauma, up to 40% present with renal injury. In urban areas, 80% of renal injuries occur in the context of polytrauma. In ski resorts, 2/3 of renal injuries are due to skiing accidents. [urology-textbook.com]
Epidemiology Around 250,000 renal injuries occur each year worldwide [3, 4]. They affect mostly younger people (70 - 80 % of patients with renal injuries are < 44 years of age) [3, 5]. [military-medicine.com]
Epidemiology Frequency The frequency of renal injury somewhat depends on the patient population being considered. Renal trauma accounts for approximately 3% of all trauma admissions and as many as 10% of patients who sustain abdominal trauma. [emedicine.medscape.com]
Pathophysiology
< Emergency Management of Renal and Genitourinary Trauma: Best Practices Update (Trauma CME) Etiology and Pathophysiology For a summary of the types of injuries GU organs may sustain, see Table 3. [ebmedicine.net]
The pathophysiology and etiology of sports-induced hematuria, or atraumatic hematuria, can be divided into mechanisms related to exercise duration or exercise intensity. Traumatic hematuria will be discussed further in the renal trauma section. [journals.lww.com]
This narrative review article presents an overview of the current knowledge of sport-related renal trauma among children after review of 56 research paper focusing on etiology, pathophysiology, diagnosis, safety measures, and treatment. [sjosm.org]
Prevention
PREVENTION The only way to prevent the injury is to protect the abdominal region. Padding will decrease the chance of bruising, although normal football padding does not protect the flank area. [webmd.com]
If there was any damage to the eye itself, you may need antibiotic eye drops to prevent infection. Your doctor may prescribe eye drops to minimize inflammation. [uvahealth.com]
The many layers of padding help prevent kidney injury. [medlineplus.gov]
How can I help prevent a bruised liver? Because bruises of the liver tend to happen in accidents, there is no easy way to prevent them. [summitmedicalgroup.com]