Hematuria and intravenous pyelography in pediatric blunt renal trauma.
Because the traditional protocol for investigating blunt renal trauma in children has been questioned and because of societal awareness of health care costs, the authors carried out a retrospective review of blunt renal trauma in 138 children over a 5-year period to establish criteria for urgent radiologic investigation of those with suspected renal trauma. From their findings, they recommend that in the absence of the suspected major injuries and hypotension a threshold count of 40 red blood cells per high-power field is necessary before urgent intravenous pyelography should be done.
Middlebrook
P F
PF
Division of Urology, Children's Hospital of Eastern Ontario, Ottawa.
Schillinger
J F
JF
D000293:Adolescent; D002648:Child; D002675:Child, Preschool; D005260:Female; D006417:Hematuria / Q000209:etiology* / Q000652:urine; D006801:Humans; D007275:Injections, Intravenous; D007668:Kidney / Q000002:abnormalities / Q000000981:diagnostic imaging* / Q000293:injuries*; D007902:Length of Stay; D008297:Male; D012189:Retrospective Studies; D012720:Severity of Illness Index; D014057:Tomography, X-Ray Computed; D014567:Urography / Q000379:methods; D014949:Wounds, Nonpenetrating / Q000150:complications* / Q000000981:diagnostic imaging* / Q000401:mortality