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How to Do a CT in a Patient with Presumed Upper Tract Trauma

  • Jonathan Smith
Chapter

Abstract

Patients with significant blunt trauma and macroscopic hematuria should be considered for urgent CT as are those with significant penetrating trauma. Patients with microscopic hematuria following minor blunt trauma are very unlikely to have significant urological injury and are therefore not routinely imaged by CT scanning unless there is another additional indication (such as cardiovascular instability). Ultrasound would be more usual in the “uncomplicated microscopic hematuria.” Patients that are difficult to assess clinically such as the intoxicated patient, the mentally ill patient or the obese patient and patients with penetrating injuries may require prompt CT in the absence of macroscopic hematuria (Fig. 13.1).

Keywords

Blunt Trauma Pelvic Fracture Microscopic Haematuria Bladder Injury Contrast Extravasation 
These keywords were added by machine and not by the authors. This process is experimental and the keywords may be updated as the learning algorithm improves.

Further Reading

  1. Alonso RC, Nacenta SB, Martinez PD, Guerrero AS, Fuentes CG. Kidney in danger: CT findings of blunt and penetrating renal trauma. Radiographics. 2009;29:2033–53.PubMedCrossRefGoogle Scholar
  2. Harris AC, Zwirewich CV, Lyburn ID, Torreggiani WC, Marchinkow LO. Helping the trauma surgeon – continuing medical education CT findings in blunt renal trauma. Radiographics. 2001;21:S201–14.PubMedGoogle Scholar

Copyright information

© Springer-Verlag London 2012

Authors and Affiliations

  1. 1.Department of RadiologySt James’s University HospitalLeedsUK

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