Podcast
Questions and Answers
What is the most common early pathological effect of minor renal trauma?
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?
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?
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?
In what percentage of cases is associated abdominal visceral injury present in renal trauma?
What type of trauma may result in renal pedicle injury due to rapid deceleration?
What type of trauma may result in renal pedicle injury due to rapid deceleration?
What can occur in case of major renal injury due to urinary extravasations?
What can occur in case of major renal injury due to urinary extravasations?
Which of the following is a common clinical finding in renal vascular hypertension?
Which of the following is a common clinical finding in renal vascular hypertension?
What is the most effective means for staging renal injuries?
What is the most effective means for staging renal injuries?
Which investigation is indicated in the case of suspected renal pedicle injury?
Which investigation is indicated in the case of suspected renal pedicle injury?
What is the most important immediate complication of renal injuries?
What is the most important immediate complication of renal injuries?
What is a common late complication following a renal injury?
What is a common late complication following a renal injury?
What is the diagnostic indication for performing an Intravenous Pyelogram (IVP)?
What is the diagnostic indication for performing an Intravenous Pyelogram (IVP)?
What are early complications of a renal injury?
What are early complications of a renal injury?
What are surgical measures for blunt renal injuries?
What are surgical measures for blunt renal injuries?
What is the emergency measure in treating renal injuries?
What is the emergency measure in treating renal injuries?
What should be followed up by IVP 3-6 months after a renal injury?
What should be followed up by IVP 3-6 months after a renal injury?
What may cause the renal vascular hypertension described in the text?
What may cause the renal vascular hypertension described in the text?
What is the most common early pathological effect of minor renal trauma according to the text?
What is the most common early pathological effect of minor renal trauma according to the text?
In the context of renal injuries, what is the significance of continuous hematuria and inappropriate vital signs in the GUE?
In the context of renal injuries, what is the significance of continuous hematuria and inappropriate vital signs in the GUE?
Which complication of renal injuries requires follow-up with checking blood pressure?
Which complication of renal injuries requires follow-up with checking blood pressure?
What is indicated if a CT scan shows non-viable renal tissue and urinary extravasation?
What is indicated if a CT scan shows non-viable renal tissue and urinary extravasation?
What is the most common etiology of renal injury according to the text?
What is the most common etiology of renal injury according to the text?
Which type of renal trauma usually requires surgery?
Which type of renal trauma usually requires surgery?
What is a rare vascular injury in renal trauma?
What is a rare vascular injury in renal trauma?
What can occur due to urinary extravasations in case of major renal injury?
What can occur due to urinary extravasations in case of major renal injury?
What is a common late complication following a renal injury?
What is a common late complication following a renal injury?
Flashcards
Early effect of minor renal trauma?
Early effect of minor renal trauma?
Subcapsular hematoma and superficial cortical lacerations.
Common cause of renal injuries?
Common cause of renal injuries?
Blunt trauma with rapid deceleration.
Rare renal vascular injury?
Rare renal vascular injury?
Total or partial avulsion of the pedicle.
Visceral injury with renal trauma?
Visceral injury with renal trauma?
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Trauma causing pedicle injury?
Trauma causing pedicle injury?
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Major renal injury complication?
Major renal injury complication?
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Clinical finding in renal vascular hypertension?
Clinical finding in renal vascular hypertension?
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Best investigation for staging?
Best investigation for staging?
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Investigation for suspected pedicle injury?
Investigation for suspected pedicle injury?
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Immediate renal injury risk?
Immediate renal injury risk?
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Initial measure for renal injuries?
Initial measure for renal injuries?
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Cause of vascular hypertension?
Cause of vascular hypertension?
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Early effect of minor renal trauma?
Early effect of minor renal trauma?
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Continuous hematuria significance?
Continuous hematuria significance?
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Renal injury complication to follow?
Renal injury complication to follow?
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CT scan finding requiring surgery?
CT scan finding requiring surgery?
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Common etiology of renal injury?
Common etiology of renal injury?
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Renal trauma needing surgery?
Renal trauma needing surgery?
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Rare vascular injury?
Rare vascular injury?
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Major renal injury complication?
Major renal injury complication?
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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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