Special Circumstances | Acute Kidney Injury in Pediatric Patients

<< Acute Kidney Injury in Pediatric Patients: Diagnosis and Management in the Emergency Department (Pharmacology CME)

Special Circumstances


Trauma can result in direct or indirect kidney injury. Crush injuries should always raise suspicion for rhabdomyolysis and warrant immediate IV fluid administration.48 Blunt abdominal trauma can result in renal laceration, renal contusion, and renovascular injury.58 In a study of 48 children sustaining renal injuries, the degree of hematuria did not correlate with the degree of injury, and some patients suffered substantial injury without associated hematuria.86 The authors of that study concluded that CT scan of the abdomen was justified in any patient with blunt abdominal trauma and any degree of hematuria.

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