Hematuria and urinary tract damage in blunt abdominal

Hematuria and urinary tract damage in blunt abdominal trauma Personal Photo Dr. Mohammad ali Momeni Medical student, member of Research Committee of AJA University of Medical Sciences, Tehran, Iran Electronic Poster Code: A-10 -53 -5 Parisa Hashemi Nursing student, memder of Research Committee of AJA University of Medical Sciences , Tehran, Iran Dr. Fatemeh Moradi Medical student, member of Research Committee of Azad University of Medical sciences tehran branch, Tehran, Iran 1 Dr. Mohammad ali Momeni- Medical student , member of Research committee of AJA University of medical sciences, Tehran, Iran 13/OCT/10

Introduction There is a controversy about the evaluation of patients with trauma. Bleeding in the urine is called hematuria , which is known to be in excess of 5 RBC in HPF (the largest microscope magnification) in the urine. Hematuria is a common finding in blunt abdominal traumas, and traditional thinking about hematuria is that hematuria means trauma to the genitourinary system. The aim of this study was to determine the association between hematuria and urinary tract damage in blunt abdominal trauma. 2 Dr. Mohammad ali Momeni- Medical student , member of Research committee of AJA University of medical sciences, Tehran, Iran 13/OCT/10

Method This article is systematic review through Internet data bases (sid. Google scholar. Isc) with key words (blunt abdominal Trauma, hematuria, kidney injury). from 24 articles in the years 1982 to 2015. Has been published. 3 Dr. Mohammad ali Momeni- Medical student , member of Research committee of AJA University of medical sciences, Tehran, Iran 13/OCT/10

Result In a study was performed on 1, 175 patients with a trauma (5. 2%) had a clear or microscopic hematuria and (13. 8%) people with Blunt abdominal trauma had severe kidney trauma and there was a significant relationship between severe hematuria and severe kidney trauma. In study that was performed on 590 person in Blunt trauma in the non-shocked kidney, (58%) had microscopic hematuria, and (56. 6%) others were injured. Most patients who have microscopic hematuria have, after a blunt trauma, actually suffered from kidney damage. In a study that was performed in a traumatic facility and all patients with any grade of hematuria under IVP and cystography, (8. 3%)had abnormal cystography , (77%) had clear hematuria, (3%) were under aggressive therapies and (0. 6%) nephrectomy patient 4 Dr. Mohammad ali Momeni- Medical student , member of Research committee of AJA University of medical sciences, Tehran, Iran 13/OCT/10

5 Dr. Mohammad ali Momeni- Medical student , member of Research committee of AJA University of medical sciences, Tehran, Iran 13/OCT/10

Conclusion Due to studies in Blunt traumas, the presence of blood in the urine is an important finding. It has a significant relationship with genital tract damage, but the presence of hematuria is not necessarily the cause of kidney damage, but it is also due to bruising and bruising. The obvious hematuria has a stronger relationship with renal injury. 6 Dr. Mohammad ali Momeni- Medical student , member of Research committee of AJA University of medical sciences, Tehran, Iran 13/OCT/10

References 1. Cass A, Luxenberg M, Gleich P, Smith C. Clinical indications for radiographic evaluation of blunt renal trauma. The Journal of urology. 1986; 136(2): 370 -1. 2. Guice K, Oldham K, Eide B, Johansen K. Hematuria after blunt trauma: When is pyelography useful? The Journal of trauma. 1983; 23(4): 305 -11. 3. Kristjansson A, Pedersen J. Management of blunt renal trauma. British journal of urology. 1993; 72(5): 692 -6. 4. Levy JB, Baskin LS, Ewalt DH, Zderic SA, Bellah R, Snyder HM, et al. Nonoperative management of blunt pediatric major renal trauma. Urology. 1993; 42(4): 418 -24. 7 Dr. Mohammad ali Momeni- Medical student , member of Research committee of AJA University of medical sciences, Tehran, Iran 13/OCT/10

Final Questions • What is already known about the subject? 1. Importance of abdominal traumas 2. Importance of kidney damage in abdominal trauma • What could be added to the current knowledge by this study? 1. The importance of evaluating patients with trauma 8 Dr. Mohammad ali Momeni- Medical student , member of Research committee of AJA University of medical sciences, Tehran, Iran 13/OCT/10