Detection of Specific Injuries

The need to determine the existence of specific injuries is based on the clinical elements obtained in the history, physical examination, and plain films, and to some extent the age of the patient. Tab]e 2M54-1 lists some key elements that should prompt the consideration of further evaluation of renal tract injury. The approach to evaluation is dependent on the following: blunt versus penetrating trauma, the presence of hematuria and whether it is gross or microscopic, associated injuries, mechanism of injury, hemodynamic stability, and age of the patient.3 Each of these factors affects the approach somewhat. Renal injuries require staging for appropriate management (Table.254-2).4 Staging is usually accomplished through use of an imaging modality, but sometimes exploration is required (see below).

ftniHn-uuti ■ « dnrlmjiia ji|irf ■;■■ nal |nLi mil

U#cr fit huuiH Cbidnayi-

AMMiUU, UluAf r lufc ■: a jxr>- iii. irrri^iTHH r. nuM {lodHf/

^HWMkfj iiiaui'h un vibWiiy %h! uvr p-ui ai" d» muí u>#>k3j í Pin^r at H'IMM ^H'P«"»

r-ii-:roi-:-l-pic hiaawni m ihtuia hthiutiputk-«! i.IpM nini AbwfMífy pwninu J' PTW^W >¡p

I J rwnlta r_l

Peripheral Neuropathy Natural Treatment Options

Peripheral Neuropathy Natural Treatment Options

This guide will help millions of people understand this condition so that they can take control of their lives and make informed decisions. The ebook covers information on a vast number of different types of neuropathy. In addition, it will be a useful resource for their families, caregivers, and health care providers.

Get My Free Ebook

Post a comment