The Experts below are selected from a list of 1770 Experts worldwide ranked by ideXlab platform
Catherine M Clase - One of the best experts on this subject based on the ideXlab platform.
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abdominal pain hyperkalemia and elevated creatinine after blunt trauma Bladder Rupture and pseudo acute kidney injury
Canadian Journal of General Internal Medicine, 2018Co-Authors: Reza Mirza, Eric Kc Wong, Robert C Yang, Catherine M ClaseAbstract:A 40-year-old man involved in trauma presented with abdominal pain and ascites. He was referred to nephrology for elevated creatinine and hyperkalemia. Initial imaging showed diffuse free fluid in the abdomen and pelvis without solid organ injury. Paracentesis drained 1.5L of yellow fluid notable for a creatinine of 2259 μmol/L. Intraperitoneal urinary Bladder Rupture was diagnosed and surgically repaired. Within 24 hours, creatinine had normalized consistent with a presentation of pseudo-acute-kidney-injury. This case and a literature review reveals that this condition is often delayed in diagnosis or misdiagnosed altogether.
Reza Mirza - One of the best experts on this subject based on the ideXlab platform.
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abdominal pain hyperkalemia and elevated creatinine after blunt trauma Bladder Rupture and pseudo acute kidney injury
Canadian Journal of General Internal Medicine, 2018Co-Authors: Reza Mirza, Eric Kc Wong, Robert C Yang, Catherine M ClaseAbstract:A 40-year-old man involved in trauma presented with abdominal pain and ascites. He was referred to nephrology for elevated creatinine and hyperkalemia. Initial imaging showed diffuse free fluid in the abdomen and pelvis without solid organ injury. Paracentesis drained 1.5L of yellow fluid notable for a creatinine of 2259 μmol/L. Intraperitoneal urinary Bladder Rupture was diagnosed and surgically repaired. Within 24 hours, creatinine had normalized consistent with a presentation of pseudo-acute-kidney-injury. This case and a literature review reveals that this condition is often delayed in diagnosis or misdiagnosed altogether.
Resa E Lewiss - One of the best experts on this subject based on the ideXlab platform.
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Bedside ultrasound diagnosis of atraumatic Bladder Rupture in an alcohol-intoxicated patient: a case report
Critical Ultrasound Journal, 2012Co-Authors: Michael C Daignault, Turandot Saul, Resa E LewissAbstract:Most commonly, patients who present to the emergency department with a history and physical examination suggestive of urinary Bladder Rupture report a preceding traumatic event. Spontaneous atraumatic Bladder Rupture is relatively uncommon, but can occur in the context of a recent alcohol binge. The alcohol-intoxicated patient presents diagnostic and therapeutic challenges to the emergency physician (EP) that take on additional urgency given the high mortality of unrecognized Bladder Rupture. This case report reviews Bladder anatomy, the unique physiological changes in the alcohol-intoxicated patient, and the high mortality rate of a Ruptured urinary Bladder. We review the historical diagnostic imaging options followed by a discussion of how bedside ultrasound could expedite diagnosis and management. We present the case of a patient with spontaneous atraumatic Rupture of the urinary Bladder after a recent alcohol binge. Bedside ultrasound was utilized by the EP to determine the need for emergent surgical consultation and intervention. We recommend that EPs consider Bladder Rupture in their initial evaluation of patients presenting with nonspecific abdominal pain in the context of recent alcohol intoxication. When using bedside ultrasound to evaluate the pelvis, the presence of anterior or posterior vesicular fluid collections, the loss of normal pelvic landmarks, or irregularities in the Bladder wall may increase the EPs suspicion for this disease entity and expedite time-sensitive management.
Allen F Morey - One of the best experts on this subject based on the ideXlab platform.
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radiographic evaluation of suspected Bladder Rupture following blunt trauma critical review
World Journal of Surgery, 2001Co-Authors: Alan J Iverson, Allen F MoreyAbstract:Indications for urgent radiographic evaluation of suspected Bladder injuries are poorly defined. Review of the existing literature reveals that traumatic Bladder Rupture is strongly correlated with the combination of pelvic fracture and gross hematuria. Nearly all patients with hematuria or pelvic fracture alone do not have Bladder Rupture. Bladder Rupture is commonly associated with suprapubic discomfort or inability to void in coherent, responsive patients. Intoxicated or unresponsive patients should warrant a higher index of suspicion for Bladder injury among clinicians treating patients with pelvic trauma. Similarly, patients having neurologic or preexisting urologic co-morbidities may not manifest typical symptoms of Bladder Rupture. The above clinical indicators should be considered when clinicians determine the appropriateness of urgent cystography to detect Bladder Rupture.
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Bladder Rupture after blunt trauma guidelines for diagnostic imaging
Journal of Trauma-injury Infection and Critical Care, 2001Co-Authors: Allen F Morey, Alan J Iverson, Alan Swan, William J Harmon, Scott S Spore, Sam Bhayani, Steven B BrandesAbstract:Purpose: The purpose of this study was to establish guidelines for diagnostic imaging for Bladder Rupture in the blunt trauma victim with multiple injuries, in whom the delay caused by unnecessary testing can hamper the trauma surgeon and threaten outcome. Methods: We undertook chart review (1995-1999) of patients with blunt trauma and Bladder Rupture at our four institutions and performed focused literature review of retrospective series. Results: Of our 53 patients identified, all had gross hematuria and 85% had pelvic fracture. Literature review revealed similar rates. Conclusion: The classic combination of pelvic fracture and gross hematuria constitutes an absolute indication for immediate cystography in blunt trauma victims. Existing data do not support lower urinary tract imaging in all patients with either pelvic fracture or hematuria alone. Clinical indicators of Bladder Rupture may be used to identify atypical patients at higher risk. Patients with isolated hematuria and no physical signs of lower urinary tract injury may be spared the morbidity, time, and expense of immediate cystographic evaluation.
James R. Porter - One of the best experts on this subject based on the ideXlab platform.
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COMPUTERIZED TOMOGRAPHY CYSTOGRAPHY FOR THE DIAGNOSIS OF TRAUMATIC Bladder Rupture
The Journal of urology, 2000Co-Authors: Andrew J. Deck, Sarah Shaves, Lee B. Talner, James R. PorterAbstract:Purpose: We present our experience with computerized tomography (CT) cystography for diagnosing Bladder Rupture in patients with blunt abdominal and pelvic trauma, and compare the results of CT cystography with those of surgical exploration.Materials and Methods: We identified all patients with blunt trauma diagnosed with Bladder Rupture from 1992 to September 1998. We reviewed the radiology computerized information system for all CT cystography performed to evaluate blunt trauma during the same period. We also reviewed the medical records and pertinent radiographic studies of patients with Bladder Rupture who underwent CT cystography as part of the hospital admission evaluation. Operative and radiographic findings were compared.Results: CT cystography was performed in 316 patients as part of the initial evaluation of blunt trauma. Of the 44 patients with the ultimate diagnosis of Bladder Rupture CT cystography revealed Bladder Rupture in 42, while 23 of the 28 (82%) who underwent formal Bladder explorati...