"— Presentation transcript: 1 Kidney Lacerations & Contusions Rina Parrish & Michelle Jones 1 October 2003 AH 322 Eval. [slideplayer.com]

It is recommended that patients use the information presented as a part of a broader decision-making process. Please DO NOT STOP MEDICATIONS without first consulting a physician since doing so could be hazardous to your health. [ehealthme.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]

This is the classic presentation of contusions. Ribfracture and subcutaneous emphysema due to pneumothorax. [radiologyassistant.nl]

• Animal Bite

  Other common types of injuries include Animal bites Bruises Burns Dislocations Electrical injuries Fractures Sprains and strains Bleeding (Medical Encyclopedia) Crush injury (Medical Encyclopedia) Cuts and puncture wounds (Medical Encyclopedia) Electrical [icdlist.com]

  Gomes CM, Ribeiro-Filho L, Giron AM et el: Genital trauma due to animal bites. J Urol 2001; 165 : 80. Jeong JH, Shin HJ, Woo SH et al: A new repair technique for penile paraffinoma: bilateral scrotal flaps. Ann Plast Surg 1996; 37 : 386. [auanet.org]

• Hyperresonance

  17 Kidney contusions& lacerations PERCUSSION Listen for normal/abnormal sounds such as tympany dullness hyperresonance 18 Kidney contusions& lacerations PERCUSSION Usually performed by trained medical professionals Involves tapping on various parts of [slideplayer.com]

• Abdominal Cramps

  Or it could be gastrointestinal related with abdominal cramps, nausea, diarrhea and vomiting. [sportsinjuryclinic.net]

• Encephalopathy

  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]

• 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]

  pain Grey-Turner sign - Ecchymosis in flank No acute abdominal signs Possible bony crepitus due to rib fx 7 Kidney contusions& lacerations Signs & symptoms of Kidney injury Cont… Rigidity of back muscles High pain in the posterior costoverterbral angle [slideplayer.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 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]

  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]

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]

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]

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]

TREATMENT The treatment of a contusion to the kidney or liver is rest and plenty of IV fluids. There is little that can be done to help the healing process, which may be slow. [webmd.com]

Treatment and prognosis grade I - conservative management grade II - conservative management under close observation grade III - conservative management under close observation. [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]

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]

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]

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]

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]

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]

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]