kidney trauma

Question 1

incidence of abdominal blunt trauma in pediatrics that involve a renal injury

Answer 1

10-20%

Question 2

management of traumatic renal injuries usually use a non -operative approach
true or false

Answer 2

true

Question 3

is hematuria always associated with a renal injury

Answer 3

no

Question 4

what labs should be done if renal injury is suspected

Answer 4

CBC and then do trending H & H’s
CMP
UA

Question 5

imaging evaluation includes?

Answer 5

CT scan contrast enhanced with immediate and delayed films
RUS
negative scan doesn’t rule out injury

Question 6

what is treatment if hemodynamically unstable

Answer 6

blood tranfusion and consider embolization vs nephrectomy

Question 7

treatment for persistent pain and/or urine leak

Answer 7

place DJ stent

Question 8

risk factors for renal injury with blunt trauma

Answer 8

UPJ, horseshoe kidney, pelvic kidney

Question 9

is hematuria a reliable symptom for diagnosis of renal injury

Answer 9

no–upto 70% of children wiht grade 2 or higher injury may not have gross or microscopic hematuria

Question 10

should you cath if their is blood at meatus

Answer 10

no

Question 11

what imaging is done to r/u ureteral disruption

Answer 11

retrograde pyelography