1999
DOI: 10.1089/end.1999.13.209
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Heightened Suspicion and Rapid Evaluation with CT for Early Diagnosis of Partial Renal Infarction

Abstract: In evaluating partial renal infarction, a strong clinical suspicion is necessary. We found a history of dysrhythmia or other cardiac disease, the presence of abdominal or flank pain, fever with an elevated white cell count, and an elevated LDH to be clinically significant, and their presence should alert the clinician to the possibility of renal infarction. Once a degree of suspicion exists, early evaluation with CT should speed the diagnosis and effect decreased morbidity.

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Cited by 35 publications
(36 citation statements)
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“…Diagnosis of acute renal infarction is often missed or delayed because of the rarity of the disease and its nonspecific clinical manifestations; thus, CT results may be the first indication of unsuspected renal infarction. 5,6 Although we suspect that the severity of renal infarction affects short-or long-term renal function, there are no largescale reports describing this. To evaluate the effect of renal infarction on renal function prognosis, we retrospectively reviewed medical records of patients with renal infarction.…”
Section: Introductionmentioning
confidence: 99%
“…Diagnosis of acute renal infarction is often missed or delayed because of the rarity of the disease and its nonspecific clinical manifestations; thus, CT results may be the first indication of unsuspected renal infarction. 5,6 Although we suspect that the severity of renal infarction affects short-or long-term renal function, there are no largescale reports describing this. To evaluate the effect of renal infarction on renal function prognosis, we retrospectively reviewed medical records of patients with renal infarction.…”
Section: Introductionmentioning
confidence: 99%
“…Around one half of SCD patients develop 18 Renal papillary infarction can result in painless hematuria that is gross in proportion, frequently reported among SCD patients and individuals with sickle cell trait. 19 Renal tubular acidosis can occur as a result of disturbances in the medullary blood flow that can lead to improper maintenance of the electrochemical gradients in the collecting ducts. These disturbances are often mild and asymptomatic but occasionally progress to severe clinical manifestations in case of rhabdomyolysis or volume depletion resulting in hyperkalemia and acidosis.…”
Section: Discussionmentioning
confidence: 99%
“…La existencia de proteinuria parece ser un hallazgo bastante común (presente en más de 70% de los casos) 13 . La hematuria microscópica y la piuria se encuentran menos frecuentemente.…”
Section: Discussionunclassified