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
- Abdominal compartment syndrome
- Diaphragmatic trauma
- Duodenal hematoma
- Genitourinary trauma
- Liver trauma
- Pelvic fractures
- Retroperitoneal hemorrhage
- Renal trauma
- Splenic trauma
- Trauma in pregnancy
- Ureter 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
- Grade III: Corticomedullary junction 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