Kidney Injury

The kidneys are well protected organs. They are set deep into the abdomen andshielded by the lower ribs. Because of their location, they can be injured in blows to the mid-back or flank. Fractures involving the posterior (back) aspects of ribs 10, 11, and 12 may cause damage to a kidney. It is fortunate that most blunt (contusions) injuries to the kidneys heal without surgical intervention. The kidney may also be injured from a stab wound to the back. Common symptoms include pain and tenderness to the mid-back and flank. Any history of a blow to that area is important. Associated findings of low rib fractures should alert the physician to search for possible kidney trauma. Blood may be visible in the urine as a pinkish discoloration, but is more commonly detected through urinalysis (microscopic analysis). Evaluation will include physical examination for bruising to the mid-back or flanks. Presence of gross, or microscopic blood in the urine may indicate the need for intravenous pyelography (IVP) or CT-scanning of the abdomen. Both tests can reveal kidney injury. Intravenous pyelography is similar to a plain x-ray. First, the injection of a radiopaque contrast dye into the patient's vein is required. Minor kidney injuries may be managed conservatively with a follow-up urinalysis to determine whether the blood is clearing and infection is not occurring. Major kidney trauma can result in the surgical removal of the damaged kidney. The remaining kidney will enlarge to compensate for the duties of the missing organ. Damage to other parts of the genitourinary tract (bladder, ureter, and urethra) may also result in blood contaminated urine.


12 Hip Dislocation
12 Hip Fracture
12 Insect Stings and Spider Bites
12 Human and Animal Bites
12 Shoulder Injury Fracture
12 Toxic Inhalations and Carbon Monoxide Poisoning
12 Facial Injury Jaw Fracture and Dislocation
12 Kidney Injury
12 Knee Injury General Considerations
12 Knee Injury Contusion
12 Knee Injury Fracture
12 Knee Injury Sprain
12 Stab Wounds
12 Leg Injury Fractures and Contusions
12 Leg Injury Shin Splints
12 Lightning Injury
12 Oral and Tongue Injuries
12 Nasal Fracture or Contusion
12 Neck Injury General Considerations
12 Neck Injury Fracture
12 Neck Injury Spinal Cord Injury
12 Pelvic Bone Fracture
12 Puncture Wounds
12 Chest Injury Rib Fracture
12 Back Injury Sacrococcygeal Injury
12 Scorpion Bites
12 Abrasion Injuries
12 Shoulder Injury Clavicle Fracture
12 Shoulder Injury Strains and Sprains
12 Snakebite
12 Neck Injury Spinal Cord Injury
12 Abdominal Injury Ruptured Spleen
12 Foot Injury Toe Fracture and Sprain
12 Vaginal or Vulvar Injury
12 Drowning and Near Drowning

INJURIES

Abdominal Injury
Abdominal Injury: Contusion
Abrasion
Amputations
Animal Bites
Ankle Fracture
Ankle Injury
Ankle Injury: Contusion
Ankle Sprain
Back Injury
Back Injury : Sacrococcygeal Injury
Back Strain
Burns
Carbon Monoxide Poisoning
Chemical Burns
Chest Injuries
Chest Injury: Aortic Rupture
Chest Injury: Hemothorax
Chest Injury: Myocardial Contusion
Chest Injury : Pneumothorax
Chest Injury: Pulmonary Contusion
Chronic Back Pain
Clavicle Fracture
Compression Fractures
Contusions
Decompression Sickness
Disc Disease
Gunshot Wounds
Hand Injury: Fingertip Amputations
Head Injury
Liver Injury
Marine Stings
Muscle Strains
Rib Fracture
Ruptured Spleen
Shoulder Injury: A-C Separation
Spider Bites
Spinal Cord Injury
Sternum Fracture
Testicular Injury
Wrist Injury
hi Scuba Related Injuries
i Hand Injury Finger Amputaion
de Lecerations
de Cold Injury and Hypothermia
dd Dental Injury
xs Facial Injury
sdf Neck Injury
e Shoulder Injury Dislocation
e Ear Injury
ed Elbow Injury
de Elbow Injury Fracture
dfe Elbow Injury Nursemaids
ee Electrical Injury
de Eye Injury
ed Facial Injury General Considerations
fr Facial Injury Contusion
ed Hand Injury Finger Sprains
ded Fingernail and Toenail Injuries
dd Hand Injury Fractures
23 Head Injury Skull Fracture and Concussion
44 Chest Injury Myocardial Contusion
fde Heat Illness
ed Hest Injury Hemothorax
y Back Injury Disc Disease
;l High Altitude Illness


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