Liver Injuries

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