Renal infarct: Difference between revisions

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== [[Renal infarct overview|Overview]] ==


==Risk factors==
== [[Renal infarct historical perspective|Historical Perspective]] ==
*[[Coagulopathy]]
*[[Cocaine]]
*[[Ehlers-Danlos syndrome]]
*[[Fibromuscular dysplasia]]
*[[Marfan syndrome]]
*[[Renal transplant]]
*[[Stent]] placement
*[[Trauma]]


==Diagnosis==
== [[Renal infarct pathophysiology|Pathophysiology]] ==


===History===
== [[Renal infarct causes|Causes]] ==
There is usually a history of thormboembolic risk factors (cancer) or a prior history of embolization. Atherosclerotic risk factors are often present.


===Symptoms===
== [[Renal infarct differential diagnosis|Differentiating Renal infarct from other Diseases]] ==


The patient may compain of persistent [[flank pain]], low [[back pain]] or even [[abdominal pain]].
== [[Renal infarct epidemiology and demographics|Epidemiology and Demographics]] ==


===Laboratory Findings===
== [[Renal infarct risk factors|Risk Factors]] ==


====Urinalysis====
== [[Renal infarct natural history, complications and prognosis|Natural History, Complications and Prognosis]] ==
[[Hematuria]] is present in 74% of cases


====Blood====
== Diagnosis ==
Elevated [[LDH]] is sensitive but non-specific for renal infarction.


===Imaging Studies===
[[Renal infarct history and symptoms|History and Symptoms]] | [[Renal infarct physical examination|Physical Examination]] | [[Renal infarct laboratory findings|Laboratory Findings]] | [[Renal infarct x ray|X Ray]] | [[Renal infarct CT|CT]] | [[Renal infarct ultrasound|Ultrasound]] | [[Renal infarct other imaging findings|Other Imaging Findings]] | [[Renal infarct other diagnostic studies|Other Diagnostic Studies]]


The diagnostic study of choice is a contrast CT. Ultrasound can evaluate if obstructive uropathy is present as a cause of back pain and renal insufficiency, but it lacks senstitivity in the detection of renal infarction.
== Treatment ==


<div align="left">
[[Renal infarct medical therapy|Medical Therapy]] | [[Renal infarct surgery|Surgery]] | [[Renal infarct primary prevention|Primary Prevention]] | [[Renal infarct secondary prevention|Secondary Prevention]] | [[Renal infarct cost-effectiveness of therapy| Cost-Effectiveness of Therapy]] | [[Renal infarct future or investigational therapies|Future or Investigational Therapies]]
<gallery heights="175" widths="175">
Image:Renal-infarction-004.jpg|CT demonstrates a left renal infarction patient#1 <small>Image courtesy of RadsWiki and copylefted</small>
Image:Renal-infarction-005.jpg|CT demonstrates a left renal infarction patient#1 <small>Image courtesy of RadsWiki and copylefted</small>
Image:Renal-infarction-006.jpg|CT demonstrates a left renal infarction patient#1 <small>Image courtesy of RadsWiki and copylefted</small>
</gallery>
</div>


<div align="left">
==Case Studies==
<gallery heights="175" widths="175">
[[Renal infarct case study one|Case #1]]
Image:Renal-infarct-001 copy.jpg |CT demonstrates a right renal infarction patient#2 <small>Image courtesy of RadsWiki and copylefted</small>
Image:Renal-infarct-002 copy.jpg |CT demonstrates a right renal infarction patient#2 <small>Image courtesy of RadsWiki and copylefted</small>
Image:Renal-infarct-003 copy.jpg |CT demonstrates a right renal infarction patient#2 <small>Image courtesy of RadsWiki and copylefted</small>
</gallery>
</div>
 
==Treatment==
 
Prompt recognition is critical so that thrombolysis, anticoagulation, or embolectomy can be undertaken to minimize the loss in renal function. It should be noted that these patients are at high risk of recurrent thromboembolism, and long-term anticoagulation may be of benefit.
==References==
{{reflist|2}}


[[Category:Urology]]
[[Category:Urology]]
[[Category:Nephrology]]
[[Category:Nephrology]]
 
[[category:Disease]]
{{WH}}
{{WH}}
{{WS}}
{{WS}}

Latest revision as of 19:35, 27 September 2012

Renal infarct Microchapters

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Overview

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Editor-In-Chief: C. Michael Gibson, M.S., M.D. [1]

Overview

Historical Perspective

Pathophysiology

Causes

Differentiating Renal infarct from other Diseases

Epidemiology and Demographics

Risk Factors

Natural History, Complications and Prognosis

Diagnosis

History and Symptoms | Physical Examination | Laboratory Findings | X Ray | CT | Ultrasound | Other Imaging Findings | Other Diagnostic Studies

Treatment

Medical Therapy | Surgery | Primary Prevention | Secondary Prevention | Cost-Effectiveness of Therapy | Future or Investigational Therapies

Case Studies

Case #1 Template:WH Template:WS