Symptoma

Traumatic Rupture of the Kidney

Traumatic Rupture of Kidney

More than 70 acute pediatric presentations are covered in a signs and symptoms section designed with side tabs for easy access. [books.google.com]

The patient presented anemization and increased pain, requiring selective embolization by means of arteriography of a branch of the right renal artery and placement of a double J stent due to urinary extravasation in the lower left kidney pole. [karger.com]

We present a fifteen-year-old male with previously unsuspected horseshoe kidney that suffered an atypical right upper-pole and mesorrenal kidney rupture after low-velocity-impact blunt abdominal trauma. [ncbi.nlm.nih.gov]

Case presentation: A 31 year old previously healthy primigravida presented to the Emergency Department complaining of severe left flank pain. [omicsonline.org]

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]

  • Left Flank Pain

    Case presentation: A 31 year old previously healthy primigravida presented to the Emergency Department complaining of severe left flank pain. [omicsonline.org]

  • Hypertension

    The symptoms are hypertension predates renal failure, Infections, hemorrhage, and renal calculus, massive intracystic or retroperitoneal hemorrhage can occur; these require nephrectomy. [ispub.com]

    Hypertension Renal trauma patients are at risk for later development of hypertension (Page kidney). [clinicaladvisor.com]

    Complications Complications affect 7.5% (range 3-10%) of renal injuries 4,5 : urinoma (most common) delayed bleeding (within 1-2 weeks of injury) urinary fistula perinephric abscess hypertension from renal artery injury hydronephrosis pyelonephritis Renal [radiopaedia.org]

    As well, hypertension may occur transiently because the kidney houses hormones and chemicals that help control blood pressure. [medicinenet.com]

    But we did not performe total nephrectomy of the left kidney, because renal hypertension in this case was not manifested. The patient is strictly followed up on an ambulant basis. [ci.nii.ac.jp]

  • Palpitations

    This edition's highlights include new chapters on palpitations, cystic fibrosis, travel related emergencies, and ultrasound and a new appendix on practice pathways. [books.google.com]

  • Grey Turner's Sign

    Inspect the lower back and flank for Grey-Turner’s sign or bruising because of a retroperitoneal hemorrhage. Note any abdominal distention. To identify lower urinary tract trauma, inspect the urinary meatus to determine the presence of blood. [medical-dictionary.thefreedictionary.com]

  • Purpura

    Haug Browse recently published Learning/CME Learning/CME View all learning/CME CME Case 3-2019: A 70-Year-Old Woman with Fever, Headache, and Progressive Encephalopathy Caplacizumab Treatment for Acquired Thrombotic Thrombocytopenic Purpura Randomized [nejm.org]

  • Encephalopathy

    Haug Browse recently published Learning/CME Learning/CME View all learning/CME CME Case 3-2019: A 70-Year-Old Woman with Fever, Headache, and Progressive Encephalopathy Caplacizumab Treatment for Acquired Thrombotic Thrombocytopenic Purpura Randomized [nejm.org]

  • Hematuria

    Patients require strict bed rest until gross hematuria has resolved. [merckmanuals.com]

    The lack of hematuria does not exclude severe renal trauma. [urology-textbook.com]

    25% of patients with gross hematuria have significant injuries But, 24% of patients with renal pedicle injury have no hematuria Only 1-2% with microhematuria have a severe renal injury Types of injuries CT Classification of Renal Trauma CT Grade Injury [learningradiology.com]

    Evaluation of Hematuria in Blunt Trauma Hematuria ranges from microscopic to gross. Microscopic means blood that can only be seen with a microscope, and gross means visible to the naked eye. [regionstraumapro.com]

    Hematuria. The incidence of gross hematuria varies widely, in anywhere from 24%-88% of pediatric renal patients, while microscopic hematuria increases that number to greater than 90%. [clinicaladvisor.com]

  • Flank Pain

    Fever, dropping blood count or flank pain are indications for repeated imaging (ultrasonography or CT). [urology-textbook.com]

    Hematuria was the most frequent manifestation (21 patients [84%]), followed by flank pain (17 patients [68%]). [ncbi.nlm.nih.gov]

    Acute hydronephrosis is one of the most common causes of severe flank pain in pregnancy. Severe complications of hydronephrosis of pregnancy, such as pain. renal failure or a ruptured collecting system. occur very occasionally. [doi.org]

    Keywords Ultrasound FAST Trauma Renal cyst rupture Emergency Case report A 79-year-old man presented to the emergency department complaining of right flank pain after falling down two stairs. [criticalultrasoundjournal.springeropen.com]

    Keywords Hydronephrosis; Spontaneous urinary tract rupture; Renal colic; Flank pain pregnancy; Nephrostomy; Kidney; Ureter Background Loin/flank pain in pregnancy is a common presentation to the Emergency Department (ED). [omicsonline.org]

  • Macroscopic Hematuria

    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]

    Gunshot in 86% and stab wound in 14%. 74% had macroscopic hematuria on presentation, 18% with microscopic hematuria, and 8% without hematuria on urinalysis. [east.org]

[…] 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]

Haug Browse recently published Learning/CME Learning/CME View all learning/CME CME Case 3-2019: A 70-Year-Old Woman with Fever, Headache, and Progressive Encephalopathy Caplacizumab Treatment for Acquired Thrombotic Thrombocytopenic Purpura Randomized [nejm.org]

Kidney Injuries Treatment for kidney injuries depends on the type and severity of the injury, and whether the patient has any other injuries. [ucsfhealth.org]

Causes, Symptoms and Treatment of Esophageal Injuries in Accident Victims At first, victims of esophageal injury experience pain. If a perforation or tear occurs symptoms include difficulty swallowing, chest pain, and breath... [noonanlawma.com]

The conservative treatment for major renal treatment is appropriate when the patient is thermodynamically stable, but a strict follow up is necessary to reduce the complications. [austinpublishinggroup.com]

However, if treatment is delayed or the kidney sustains serious damage, the kidneys may stop functioning correctly. If this happens, toxins can build up in the blood. [kansascityaccidentinjuryattorneys.com]

Treatment and prognosis Treatment depends on the specific trauma and complications present. [radiopaedia.org]

The overall prognosis for people with chronic renal failure is guarded, and depends on the complexity of their situation; it is not without risks and complications. [traumasurvivorsnetwork.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]

Renal vein injuries have a better prognosis. Nephrectomy should remain treatment of choice in unstable patients with multi-system trauma. 3 Ureteral and renal pelvic injuries from external trauma: diagnosis and management. Presti, Joseph C. [east.org]

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]

Etiology of Injuries of the Upper Urinary Tract Penetrating Injuries: Gunshot or stab wounds. Blunt Trauma: Direct blunt force (contusion, bruising of the abdomen or flank) leads to a rupture the kidneys. [urology-textbook.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]

[…] crashes alone account for 2 to 10 times more renal injury than sport. 9 The discussion should include an explanation of potential dialysis treatments, transplant, and the need for lifelong medication should the single kidney be lost regardless of the etiology [pediatrics.aappublications.org]

Meta-analysis of 20 studies showed that overall, 29% of patients with urinary extravasation underwent ureteral stenting. [5] Etiology The mechanism of injury should alert the clinician to the possibility of renal trauma. [emedicine.medscape.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 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]

Background and Epidemiology Trauma refers to injury caused by external force from a variety of mechanisms, including traffic- or transportation-related injuries, falls, assault (e.g., blunt weapon, stabbing, gunshot), explosions, etc. [auanet.org]

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]

It is important to keep an eye on fluid intake to prevent the body from having too much. Medication is sometimes used to prevent changes in the biochemistry of the blood. [traumasurvivorsnetwork.org]

"Our data hasn't informed prevention strategies yet," said Breyer. Although changes in a bicycle's design could potentially prevent some injuries, "you can't figure that out with this kind of study," he said. [foxnews.com]

Kidney failure has been identified by the Centers for Disease Control and Prevention as one of the most urgent public health concerns in Haiti following the 7.0-magnitude earthquake. [cnn.com]

The many layers of padding help prevent kidney injury. [medlineplus.gov]

Early intervention can prevent many of the complications that can result from an injury to the kidneys. Treatment for a mild injury that is caught early may involve bed rest in the hospital with regular testing of blood and urine. [kansascityaccidentinjuryattorneys.com]