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Renal Injury, Emergency Medicine

Albert S. Jin Reviewed 06/2017
 


Basics

Description

  • Kidneys are located in the retroperitoneal space and are surrounded by adipose tissue and loose areolar connective tissue.

  • Kidneys lie along the lower 2 thoracic vertebrae and 1st 4 l...

Diagnosis

Signs and Symptoms

History

  • Mechanism of injury and kinematics are important factors.

  • Majority of renal injuries are associated with injury of other abdominal organs.

  • In blunt trauma, note the ty...

Treatment

Pre-Hospital

  • Obtain details of injury from pre-hospital providers.

  • IV access

  • Penetrating wounds or evisceration should be covered with sterile dressings.

Initial Stabilization/Therapy

  • Airway mana...

Follow-Up

Disposition

Admission Criteria

Patients with significant renal injury require hospitalization for definitive laparotomy or observation. 

Discharge Criteria

  • Adult trauma patients without hematuri...

Additional Reading

  • Broghammer  JA, Fisher  MB, Santucci  RA. Conservative management of renal trauma: A review. Urology.  2007;70(4):623–629.

  • Mee  SL, McAninch  JW, Robinson  AL, et al. Radiograph...

Codes

ICD9

  • 866.00 Injury to kidney without mention of open wound into cavity, unspecified injury

  • 866.01 Injury to kidney without mention of open wound into cavity, hematoma without rupture of capsule

  • 866...

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