Liver and Renal injuries are very common among older adults. In this article we will discuss about some renal and liver injuries which will providea brief description about there diseases.
Liver Injuries
Liver loss is not uncommon in sports . Bergoist 136 listed only six injuries were documented . Wang reasoned that the 13 injured to the liver in 10 years of its strangers . A general method claims directly to the top of the stomach or ulcers helps with sårleveren . The first type of complaints is correct , ask a critical yarns , but sometimes , the minimum square complaint. Bruschitis, body control begins with body control to the damage, such as blood pressure, pulse and pulse. In case of simple stage storage, damaged by other structures to 4% to 15%. As with shipping assessment, it is based on the stability of evolutionary exam and homoidal stability. The diagnostic evaluation is used to continue to continue harmful and allow management. CT scan is considered the best test to estimate the liver damage and estimate the presence of blood. AlneenListic (Post Grayanist) and Structure (Post Grharan) and Strocranarians are relevant to the presence of adult injuries. These angemus continuously increased in the form of liver damage.
Renal Injuries
As
noted, renal trauma is one of the most common abdominal emergencies in sports.
As with other abdominal injuries, signs of renal trauma may not be present
immediately after the injury. The most common presenting symptom is flank pain,
and hematuria is the most frequent finding on examination. The vast majority of
these injuries are mild, but the need for nephrectomy
can be as high as 10% to 12%,2,33 and
another 10% will have injuries severe enough to require surgery.34 Unfortunately,
hematuria associated with athletic activity is well recognized and in rare cases
can be difficult to distinguish acutely from renal trauma. Boone et al. found
that 16% of football players had gross hematuria and that hematuria peaked
during games.
In
general, sports hematuria resolves with rest. Cases of suspected renal trauma
should be treated in the same way as other abdominal injuries with repeated
evaluations of vital signs and abdominal examinations for evolving evidence of significant
injury. CT scan remains the test of choice for renal injuries. In confusing cases
with a history of trauma and sports hematuria, repeated urinalysis with and
without activity can be used to distinguish sports hematuria from abdominal
trauma with acute renal injury.36 Renal vein thrombosis
following martial arts trauma is a rare
entity and presents with flank pain and microscopic hematuria. CT scan is
diagnostic.
American Association for the Surgery of Trauma Organ Injury
Scale: Liver Grade Description of Injury
I Hematoma: Subcapsular,
nonexpand ing, less than 10% of surface area
Laceration: Capsular
tear, nonbleeding, less than 1 cm parenchymal depth
II Hematoma: Subcapsular,
nonexpanding, 10%–50% of surface or intraparenchymal, nonexpanding, less than 2
cm in diameter
Laceration: Capsular tear,
active bleeding 1–3 cm parenchymal
depth,
less than 10 cm in length
III
Hematoma: Subcapsular, greater than 50% surface area or expanding;
ruptured
subcapsular hematoma with active bleeding; intraparenchymal
hematoma
greater than 2 cm or expanding
Laceration: Greater than 3
cm parenchymal depth
IV
Hematoma: Ruptured intraparenchymal hematoma with active bleeding
Laceration: Parenchymal
disruption involving 25%–50% of hepatic lobe
V Hematoma: Parenchymal
disruption involving more than 50% of hepatic
lobe
Vascular: Juxtahepatic
venous injuries (i.e., retrohepatic vena cava/major
hepatic
veins)
VI Vascular: Hepatic avulsion
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