Genitourinary Trauma in Urology
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Questions and Answers

What is the most common early pathological effect of minor renal trauma?

  • Urinoma and perirenal abscess
  • Perinephric fibrosis causing hydronephrosis
  • Sub capsular hematoma and superficial cortical lacerations (correct)
  • Deep corticomedullary laceration with urinary extravasation
  • Which type of trauma accounts for 80% of renal injuries?

  • Contusion and bruising
  • Blunt trauma with rapid deceleration (correct)
  • Penetrating injury from a stab wound
  • Gunshot injury
  • What is a rare vascular injury in renal trauma?

  • Hydronephrosis
  • Urinary extravasation
  • Total or partial avulsion of the pedicle (correct)
  • Perirenal abscess
  • In what percentage of cases is associated abdominal visceral injury present in renal trauma?

    <p>80%</p> Signup and view all the answers

    What type of trauma may result in renal pedicle injury due to rapid deceleration?

    <p>Blunt trauma</p> Signup and view all the answers

    What can occur in case of major renal injury due to urinary extravasations?

    <p>Urinoma</p> Signup and view all the answers

    Which of the following is a common clinical finding in renal vascular hypertension?

    <p>Hematuria and flank pain</p> Signup and view all the answers

    What is the most effective means for staging renal injuries?

    <p>CT scan</p> Signup and view all the answers

    Which investigation is indicated in the case of suspected renal pedicle injury?

    <p>Arteriography</p> Signup and view all the answers

    What is the most important immediate complication of renal injuries?

    <p>Hemorrhage</p> Signup and view all the answers

    What is a common late complication following a renal injury?

    <p>All of the above</p> Signup and view all the answers

    What is the diagnostic indication for performing an Intravenous Pyelogram (IVP)?

    <p>All children with hematuria</p> Signup and view all the answers

    What are early complications of a renal injury?

    <p>Hemorrhage and urinoma</p> Signup and view all the answers

    What are surgical measures for blunt renal injuries?

    <p>All of the above</p> Signup and view all the answers

    What is the emergency measure in treating renal injuries?

    <p>Treatment of shock and charting of vital signs</p> Signup and view all the answers

    What should be followed up by IVP 3-6 months after a renal injury?

    <p>All of the above</p> Signup and view all the answers

    What may cause the renal vascular hypertension described in the text?

    <p>Ischemia of renal tissue leading to increased renin secretion</p> Signup and view all the answers

    What is the most common early pathological effect of minor renal trauma according to the text?

    <p>Hemorrhage</p> Signup and view all the answers

    In the context of renal injuries, what is the significance of continuous hematuria and inappropriate vital signs in the GUE?

    <p>Indication for immediate surgery</p> Signup and view all the answers

    Which complication of renal injuries requires follow-up with checking blood pressure?

    <p>Hypertension</p> Signup and view all the answers

    What is indicated if a CT scan shows non-viable renal tissue and urinary extravasation?

    <p>Immediate surgical intervention</p> Signup and view all the answers

    What is the most common etiology of renal injury according to the text?

    <p>Rapid deceleration in high-speed vehicle collision</p> Signup and view all the answers

    Which type of renal trauma usually requires surgery?

    <p>Deep corticomedullary laceration with urinary extravasation</p> Signup and view all the answers

    What is a rare vascular injury in renal trauma?

    <p>Thrombosis of renal artery</p> Signup and view all the answers

    What can occur due to urinary extravasations in case of major renal injury?

    <p>Urinoma</p> Signup and view all the answers

    What is a common late complication following a renal injury?

    <p>Hydronephrosis</p> Signup and view all the answers

    Study Notes

    Renal Trauma

    • The most common early pathological effect of minor renal trauma is subcapsular hematoma.
    • Blunt trauma accounts for 80% of renal injuries.
    • Avulsion of the renal pedicle is a rare vascular injury in renal trauma.
    • Associated abdominal visceral injury is present in 10% of cases.

    Diagnostic and Staging

    • The most effective means for staging renal injuries is CT scan.
    • Arteriography is indicated in the case of suspected renal pedicle injury.

    Clinical Findings and Complications

    • A common clinical finding in renal vascular hypertension is abrupt onset of hypertension.
    • The most important immediate complication of renal injuries is bleeding.
    • A common late complication following a renal injury is hypertension.

    Management and Treatment

    • Early complications of a renal injury include bleeding, urinary extravasation, and infection.
    • Surgical measures for blunt renal injuries include exploration and repair of the injured kidney.
    • The emergency measure in treating renal injuries is control of bleeding and preservation of renal function.
    • Non-viable renal tissue and urinary extravasation on CT scan indicate the need for surgery.

    Follow-up and Etiology

    • Renal vascular hypertension is caused by renal ischemia, which can occur due to urinary extravasation in case of major renal injury.
    • The most common etiology of renal injury is blunt trauma.
    • Penetrating renal trauma usually requires surgery.
    • Continuous hematuria and inappropriate vital signs in the GUE (Gross Unilateral Enlargement) indicate the need for immediate evaluation and treatment.

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    Description

    Test your knowledge of genitourinary trauma in the field of urology with this quiz. Learn about the common causes and types of renal injury, including blunt trauma and penetrating injury.

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