Renal infarct: Difference between revisions

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{{CMG}}
{{CMG}}


==Risk factors==
== [[Renal infarct overview|Overview]] ==
*[[Coagulopathy]]
*[[Cocaine]]
*[[Ehlers-Danlos syndrome]]
*[[Fibromuscular dysplasia]]
*[[Marfan syndrome]]
*[[Renal transplant]]
*[[Stent]] placement
*[[Trauma]]


==Diagnosis==
== [[Renal infarct historical perspective|Historical Perspective]] ==


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


===Symptoms===
== [[Renal infarct causes|Causes]] ==


The patient may compain of persistent [[flank pain]], low [[back pain]] or even [[abdominal pain]].
== [[Renal infarct differential diagnosis|Differentiating Renal infarct from other Diseases]] ==


===Laboratory Findings===
== [[Renal infarct epidemiology and demographics|Epidemiology and Demographics]] ==


====Urinalysis====
== [[Renal infarct risk factors|Risk Factors]] ==
[[Hematuria]] is present in 74% of cases


====Blood====
== [[Renal infarct natural history, complications and prognosis|Natural History, Complications and Prognosis]] ==
Elevated [[LDH]] is sensitive but non-specific for renal infarction.


===Imaging Studies===
== Diagnosis ==


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 sensitivity in the detection of renal infarction.
[[Renal infarct history and symptoms|History and Symptoms]] | [[Renal infarct physical examination|Physical Examination]] | [[Renal infarct laboratory tests|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]]


<div align="left">
== Treatment ==
<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">
[[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-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==
==Case Studies==
 
[[Renal infarct case study one|Case #1]]
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}}

Revision as of 19:22, 27 September 2012

Renal infarct Microchapters

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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

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