• Registration
  • Login
JETem
  • Home
  • About
    • Aim and Scope
    • Our Team
    • Editorial Board
    • FAQ
  • Issues
    • Current Issue
    • Ahead of Print
    • Past Issues
  • Visual EM
    • Latest Visual EM
    • Search Visual EM
    • Thumbnail Library
  • For Authors
    • Instructions for Authors
    • Submit to JETem
    • Photo Consent
    • Policies
      • Peer Review Policy
      • Copyright Policy
      • Editorial Policy, Ethics and Responsibilities
      • Conflicts of Interest & Informed Consent
      • Open Access Policy
  • For Reviewers
    • Instructions for JETem Reviewers
    • Interested in Being a JETem Reviewer?
  • Topic
    • Abdominal / Gastroenterology
    • Administration
    • Board Review
    • Cardiology / Vascular
    • Clinical Informatics, Telehealth and Technology
    • Dermatology
    • EMS
    • Endocrine
    • ENT
    • Faculty Development
    • Genitourinary
    • Geriatrics
    • Hematology / Oncology
    • Infectious Disease
    • Miscellaneous
    • Neurology
    • Ob / Gyn
    • Ophthalmology
    • Orthopedics
    • Pediatrics
    • Procedures
    • Psychiatry
    • Renal / Electrolytes
    • Respiratory
    • Toxicology
    • Trauma
    • Ultrasound
    • Wellness
    • Wilderness
  • Modality
    • Curricula
    • Innovations
    • Lectures
    • Oral Boards
    • Podcasts
    • Simulation
    • Small Group Learning
    • Team Based Learning
    • Visual EM
  • Contact Us

FAST Exam to Diagnose Subcapsular Renal Hematoma

Michelle Sofia Bakardjiev, MD* and Amanda Esposito, MD^

*Morristown Medical Center, Department of Emergency Medicine, Morristown, NJ
*Rutgers Robert Wood Johnson Medical School, Department of Emergency Medicine, New Brunswick, NJ

Correspondence should be addressed to Amanda Esposito, MD at espomd12@gmail.com 

DOI: https://doi.org/10.21980/J8NP8DIssue 4:4
Renal/ElectrolytesVisual EM
No ratings yet.

ABSTRACT:

A 49-year-old male presents for evaluation of hematuria and left flank pain after mechanical fall down stairs four days ago.  Point-of-care ultrasound (POCUS) focused assessment with sonography in trauma (FAST) exam demonstrated subcapsular renal hematoma. Once a subcapsular hematoma is recognized the provider should keep in mind that this condition may be managed conservatively in patients with two normally functioning kidneys, but may require urgent intervention if the patient is at risk for significant renal disease, such as a single kidney.  The use of bedside ultrasound can expedite diagnosis and care for these patients, and allow proper consultants to be contacted early. Some consultants that may need to be consulted include nephrology, urology, and/or internal medicine. This case report emphasizes the utility of the FAST exam for patients presenting for non-acute trauma. The FAST exam can be utilized not only to identify free fluid in the abdomen and pelvis but also to visualize organs and the surrounding tissues for abnormalities after a trauma.

Topics:

Renal, ultrasound, subcapsular hematoma, trauma, FAST, point-of-care ultrasound, focused assessment with sonography in trauma.

Icon

Renal subcapsular hematoma - Case Report

1 file(s) 1.8 MB
Download
Icon

Renal subcapsular hematoma - Images

1 file(s) 4.2 MB
Download
CTIssue 4:4Ultrasound

Reviews:

No ratings yet.

Please rate this





Right Upper Quadrant Pain in a World Explorer

01 Jul, 19

Classic Slipped Capital Femoral Epiphysis: A...

01 Jul, 19
JETem is an online, open access, peer-reviewed journal-repository for EM educators

Most Viewed

  • Telemedicine Consult for Shortness of Breath Due to Sympathetic Crashing Acute Pulmonary Edema
  • Anticholinergic Toxicity in the Emergency Department
  • The Suicidal Patient in the Emergency Department Team-Based Learning Activity
  • Child Maltreatment Education: Utilizing an Escape Room Activity to Engage Learners on a Sensitive Topic
  • Acute Chest Syndrome

Visit Our Collaborators

About

Education

Learners should benefit from active learning. JETem accepts submissions of team-based learning, small group learning, simulation, podcasts, lectures, innovations, curricula, question sets, and visualEM.

Scholarship

We believe educators should advance through the scholarship of their educational work. JETem gives educators the opportunity to publish scholarly academic work so that it may be widely distributed, thereby increasing the significance of their results.

Links

  • Home
  • Aim and Scope
  • Current Issue
  • For Reviewers
  • Instructions for Authors
  • Contact Us

Newsletter

Sign up to receive updates from JETem regarding newly published issues and findings.

Copyright © 2016 JETem. All rights reserved.