Renal trauma: Difference between revisions

m (Rossdonaldson1 moved page Renal Trauma to Renal trauma)
No edit summary
Line 1: Line 1:
==AAST Grading System for renal injuries==
==Background==
 
==Clinical Features==
 
==Differential Diagnosis==
{{Abdominal trauma DDX}}
 
==Diagnosis==
===AAST Grading System for renal injuries===
*Non-operative management
*Non-operative management
**Grade I: Cortex contusion
**Grade I: Cortex contusion
Line 29: Line 37:
[[GU Trauma]]
[[GU Trauma]]


==References==
[[Category:Trauma]]
[[Category:Trauma]]
[[Category:Nephro]]
[[Category:Nephro]]

Revision as of 22:20, 8 June 2015

Background

Clinical Features

Differential Diagnosis

Abdominal Trauma

Diagnosis

AAST Grading System for renal injuries

  • Non-operative management
    • Grade I: Cortex contusion
    • Grade II: Cortex laceration
  • Possible operative management
    • Grade III: Corticomedullary junction laceration
      • Grade IV: Collecting system laceration
  • Operative management
    • Grade V: Shattered kidney, thrombosis of renal artery, avulsion of hilum

Treatment

  • Absolute indications for renal exploration and intervention:
    • Life-threatening hemorrhage
    • Expanding, pulsatile, or non-contained retroperitoneal hematoma
    • Renal avulsion injury

Disposition

  • Admit
    • All penetrating renal injuries
    • All gross hematuria
    • All grade II and higher injuries
  • Discharge
    • Microscopic hematuria and no indication for imaging
    • Isolated renal trauma and contusion-type grade I injury
      • Instruct no heavy lifting; f/u in 1-2wk to document resolution of the hematuria
    • Grade I subcapsular hematoma can d/c'd w/ 24hr f/u

See Also

GU Trauma

References