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Renal Trauma

trauma-list@trauma.org trauma-list@trauma.org
Tue, 1 Apr 2003 16:27:17 EST 

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In a message dated 4/1/2003 4:19:15 PM Eastern Standard Time, 
pedrogrt@uol.com.br writes:


> irritation sign. He spontaneously urinated (frank hematuria). An abdominal
> CT was ordered and showed a right kidney augmented in size and with a slow
> captation of contrast. There was no sign of parenquimal disruption or
> extravasation of contrast. Excretion was slow but present. The CT also
> showed blood clots inside the bladder and right renal pelvis. Left kindey
> normal on CT.
> 
> What next? Angiogram? Observe?
> 
> When are we supposed to order a control CT (early and late)?
> 
> 

Observe--operate if becomes unstable or peritonitis develops.  Repeat 
abdominal CT at some point in the near future (the last not based on any 
data--just would like to confirm no worsening)
ERF

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<HTML><FONT FACE=3Darial,helvetica><FONT  SIZE=3D2>In a message dated 4/1/20=
03 4:19:15 PM Eastern Standard Time, pedrogrt@uol.com.br writes:
<BR>
<BR>
<BR><BLOCKQUOTE TYPE=3DCITE style=3D"BORDER-LEFT: #0000ff 2px solid; MARGIN-=
LEFT: 5px; MARGIN-RIGHT: 0px; PADDING-LEFT: 5px">irritation sign. He spontan=
eously urinated (frank hematuria). An abdominal
<BR>CT was ordered and showed a right kidney augmented in size and with a sl=
ow
<BR>captation of contrast. There was no sign of parenquimal disruption or
<BR>extravasation of contrast. Excretion was slow but present. The CT also
<BR>showed blood clots inside the bladder and right renal pelvis. Left kinde=
y
<BR>normal on CT.
<BR>
<BR>What next? Angiogram? Observe?
<BR>
<BR>When are we supposed to order a control CT (early and late)?
<BR>
<BR></FONT><FONT  COLOR=3D"#000000" SIZE=3D3 FAMILY=3D"SANSSERIF" FACE=3D"Ar=
ial" LANG=3D"0"></BLOCKQUOTE>
<BR></FONT><FONT  COLOR=3D"#000000" SIZE=3D2 FAMILY=3D"SANSSERIF" FACE=3D"Ar=
ial" LANG=3D"0">
<BR>Observe--operate if becomes unstable or peritonitis develops. &nbsp;Repe=
at abdominal CT at some point in the near future (the last not based on any=20=
data--just would like to confirm no worsening)
<BR>ERF</FONT></HTML>

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