Document Detail


Problems in the initial diagnosis of renal infarction.
MedLine Citation:
PMID:  9213169     Owner:  NLM     Status:  MEDLINE    
Abstract/OtherAbstract:
We retrospectively analyzed 20 cases of renal infarction to identify the problems in tentatively diagnosing renal infarction. The subjects consisted of 12 outpatients and 8 inpatients whose diagnosis was confirmed by renal scintigram and/or contrast computed tomography. Renal infarction was tentatively diagnosed in only 4 of the 12 outpatients. Causes of hospitalization were cerebral emboli in 5 cases, peripheral emboli in the extremities in 2 cases and one case involved percutaneous transmitral commissurotomy. On initial urinalysis, 11 cases (55%) showed less than 2+ hematuria using dipsticks to test for occult blood. The mean lactic dehydrogenase value was as high as 2,096 IU while the mean aspartate aminotransferase and mean alanine aminotransferase were 83.1 IU and 78.6 IU. Abdominal ultrasonography revealed abnormalities in only one of 18 cases. In conclusion, since only a moderate degree of hematuria was seen in about half the cases and it was difficult to detect renal abnormalities by ultrasonography, a tentative diagnosis of renal infarction may be difficult in some cases.
Authors:
K Iga; C Izumi; A Nakano; Y Sakanoue; S Kitaguchi; Y Himura; H Gen; T Konishi
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Publication Detail:
Type:  Journal Article    
Journal Detail:
Title:  Internal medicine (Tokyo, Japan)     Volume:  36     ISSN:  0918-2918     ISO Abbreviation:  Intern. Med.     Publication Date:  1997 May 
Date Detail:
Created Date:  1997-09-09     Completed Date:  1997-09-09     Revised Date:  2004-11-17    
Medline Journal Info:
Nlm Unique ID:  9204241     Medline TA:  Intern Med     Country:  JAPAN    
Other Details:
Languages:  eng     Pagination:  330-2     Citation Subset:  IM    
Affiliation:
Department of Cardiology, Tenri Hospital.
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MeSH Terms
Descriptor/Qualifier:
Aged
Alanine Transaminase / blood
Aspartate Aminotransferases / blood
Creatinine / blood
Female
Hematuria / diagnosis
Humans
Infarction / blood,  diagnosis*,  urine
Kidney / blood supply*
L-Lactate Dehydrogenase / blood
Male
Prothrombin Time
Retrospective Studies
Chemical
Reg. No./Substance:
60-27-5/Creatinine; EC 1.1.1.27/L-Lactate Dehydrogenase; EC 2.6.1.1/Aspartate Aminotransferases; EC 2.6.1.2/Alanine Transaminase

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