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5 Cards in this Set
- Front
- Back
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What are the indications for imaging in upper tract trauma? |
Mechanism of injury: rapid development or any penetrating injury, spinous process fx
Gross hematuria
Microscopic hematuria with shock
All pediatric patients with any degree of hematuria or concerning mechanism |
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Describe the following CT findings - Cortical rim sign - Medial hematoma - Medial contrast extravasation |
Cort: peripheral enhancement to capsular arteries with no parenxhymal flow, indicates renal arterial injury Medial hematoma - hilar avulsion Medial contrast extravasation - UPj disruption |
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Describe the 1-5 grading of renal laceration |
1 - subcapsular hematoma 2 - < 1 cm lac, no collecting sx 3- >1 cm, no collecting sx 4 - collecting sx involvement 5 - hilar avulsion or shattered kidney |
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What are the absolute indications for surgical exploration of a renal lac? |
Renal injury with HDS
Expanding pulsation renal hematoma
Renal hilar avulsion/persistent renal bleeding
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