Pedi gu review renal trauma
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Pedi gu review renal trauma
- 1. Renal Trauma Pediatric GU Review UCSD Pediatric Urology George Chiang MD Sara Marietti MD Outlined from The Kelalis-King-Belman Textbook of Clinical Pediatric Urology 2007 (not for reproduction, distribution, or sale without consent)
- 2. Â
- 8. American Association for the Surgery of Trauma Organ Injury Severity Scale for the Kidney Moore, Shackford, J Trauma, 1989 Grade Description of Renal Injury I Contusion : hematuria with normal radiological studies. Hematoma : subcapsular and non expanding. II Hematoma : perirenal ,confined to retroperitoneum. Laceration : < 1 cm depth without extravasation III Laceration : > 1cm depth without collecting system injury or extravasation. IV Laceration : through renal cortex, medulla, collecting system.  Vascular : renal artery or vein injury : contained hemaorrhage. V Laceration : shattered destroyed kidney  Vascular   : renal arterial and venous avulsion.Â
- 15. Master, McAnich; Urol Clin N Am, 2006
- 16. Master, McAnich; Urol Clin N Am, 2006
- 17. Master, McAnich; Urol Clin N Am, 2006
- 18. Master, McAnich; Urol Clin N Am, 2006
- 19. Master, McAnich; Urol Clin N Am, 2006
Hinweis der Redaktion
- Pathophysiologically, shearing forces exceed the tensile strength of renal parenchyma Handguns are low velocity of <1000 ft/s and assault rifles are considered high velocity of >1000 ft/s Blast effect from a projectile may cause delayed tissue necrosis, leading to bleeding, urine leak, or abcess
- Pathophysiologically, shearing forces exceed the tensile strength of renal parenchyma Handguns are low velocity of <1000 ft/s and assault rifles are considered high velocity of >1000 ft/s Blast effect from a projectile may cause delayed tissue necrosis, leading to bleeding, urine leak, or abcess
- Unclear if children have increased risk of renal injury after blunt trauma. Classically, hydronephrotic kidneys were thought to be more prone to injury from trauma.
- 1.  A significant deceleration or high-velocity injury such as one sustained in a high-speed motor vehicle accident, a pedestrian/bicycle-motor vehicle accident, a fall from more than 15 feet, or a strike to the abdomen or flank with a foreign object (e.g., football helmet, baseball bat) 2.  Significant trauma that has resulted in fractures of thoracic rib cage, spine, pelvis, or femur, or bruising of the torso/perineum, or signs of peritonitis  3.  Gross hematuria 4.  Microscopic hematuria (<50 red blood cells per high-powered field) associated with shock (systolic blood pressure less than 90 mm Hg)
- Two heterogeneous renal masses were discovered in which the diagnosis of a malignant process could not be eliminated; elective resection and open biopsy were performed. The diagnoses of multicystic kidney and solitary cyst with complex hematoma, respectively, were confirmed on pathology. Grade III ureterovesical reflux with pyelonephritis (n = 1), polycystic kidney (n = 1), extrarenal pelvis without obstruction (n = 1), and horseshoe kidney (n = 1) were the other lesions
- World J Surg. 2001 Dec;25(12):1557-60 Radiologic evaluation of pediatric blunt renal trauma in patients with microscopic hematuria. Brown SL , Haas C , Dinchman KH , Elder JS , Spirnak JP .Department of Urology, Rainbow Babies and Children's Hospital, MetroHealth Medical Center, Case Western Reserve University, Cleveland, Ohio 44106, USA. sbrown2200@home.com