And, “blood in the urine is also a common symptom.” That was what led to a kidney laceration The receiver thought he just had a post-game stomachache before he hit the urinal. Sourced from: http://healthcare.utah.edu/healthfeed/postings/2015/11/111215_kidney.laceration.php
Kidney lacerations are painful injuries found in the upper abdomen and hip flank. The symptoms can vary and mild damage may initially show no symptoms.
Usually the abdomen will be painful on palpation. Blood in the urine (hematuria). Nausea or vomiting. Changes in blood pressure and pulse. Shock which may lead to unconsciousness. Sourced from: http://www.sportsinjuryclinic.net/sport-injuries/chest-abdomen-pain/kidney-laceration
Right or left abdominal pain, mild or severe depending on rupture. Muscle guarding Low back pain Abdominal bruising, swelling, and pain Signs of internal bleeding: decreased alertness, dizziness, fatigue, blurred vision, low BP, nausea, vomiting Decreased urine output or inability to urinate Fever In severe cases shock may result – Increased heart rate, pale, cool skin. Sourced from: http://ksi.uconn.edu/emergency-conditions/internal-trauma/kidney-injury/
Their decreased perirenal fat (decreased fat located around the kidneys), larger proportional size, and lack of complete rib protection due to lower position of the kidneys in the abdomen all increase risk of renal injury for children. Hypertension Chronic heart failure Diabetes Multiple myeloma Chronic infection Myeloproliferative disorder Connective tissue disorders Autoimmune diseases Sourced from: http://ksi.uconn.edu/emergency-conditions/internal-trauma/kidney-injury/
Low fluid intake Nephrotoxic drug ingestion Trauma or exertion Blood loss/transfusions Exposure to toxic substances Exposure to mercy vapors or heavy metals Sourced from: http://ksi.uconn.edu/emergency-conditions/internal-trauma/kidney-injury/
Assess Vital Signs (Blood Pressure, Pulse, Respiratory Rate) Call 9-1-1 (activate EMS) When at the hospital procedures may include: Surgery to repair organ, or remove it completely (Nephrectomy). Aspiration to remove pooled blood and swelling Urinalysis CBC (complete blood count) CT scan (Computed Tomography) Diagnostic Ultrasound Current practice recommendations state that all children with blunt trauma and hematuria should be imaged regardless of blood pressure or degree of blood in the urine. Sourced from: http://ksi.uconn.edu/emergency-conditions/internal-trauma/kidney-injury/
A leak can be seen clearly here. [youtube video=https://www.youtube.com/embed/TaYV88JeGXA ] Sourced from: http://www.sportsinjuryclinic.net/sport-injuries/chest-abdomen-pain/kidney-laceration