GU Emergencies Ch. 19

Question 1

In an injury that damages the liver, how frequently is the right kidney also injured?

Answer 1

right kidney is damaged 70% of time

Question 2

With a penetrating spleen injury what percent of the time is the left kidney aso injured?

Answer 2

left kidney is damaged 28% of the time

Question 3

S/SX of renal injury

Answer 3

hematuria, grey-turners sign

Question 4

Most common cause of rhabdo in kids under 9?

Answer 4

Viral infections rather than exertion. p 215

Question 5

What causes hemolytic-uremic syndrome in kids?

Answer 5

Shiga toxin producing E-coli (STEC), HUS is most common cause of AKI in children.

Question 6

Signs of HUS?

Answer 6

Triad of anemia, thrombocytopenia, and renal failure.

Question 7

Signs of testicular torsion?

Answer 7

Testicle elevated and transverse, absent cremasteric reflex

one testicle is always elevated so what is the baseline for measuring this?

Question 8

Anatomical differences that lead to increased kidney injuries in kids?

Answer 8

1. kidneys are larger in proportion
2. less fat adding
3. are lower, getting less protection from the ribs