- Pseudo-renal Failure Caused by Urinary Bladder Rupture in Multiple Trauma Patient
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Jihoon Jang, Kyoung Hoon Lim
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J Trauma Inj. 2016;29(4):191-194. Published online December 31, 2016
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DOI: https://doi.org/10.20408/jti.2016.29.4.191
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 Abstract
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- Pseudo-renal failure presents with renal failure characteristics, such as hypercreatininemia and hyperkalemia without a change in glomerular filtration rate or structure of the kidney. Pseudo-renal failure due to trauma is difficult to diagnose, because symptoms are non-specific and other factors may cause hypercreatininemia and hyperkalemia. In a trauma patient, especially one with pelvic injury, the abrupt elevation of potassium, blood urea nitrogen, and creatinine levels without previous medical history is a key feature in the diagnosis of urinary ascites. We report a case of pseudo-renal failure caused by intraperitoneal bladder rupture in a multiple trauma patient.
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Summary
- Forearm Replantation for a Patient Presented with Major Amputation Injury: A Case Report
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Jihoon Jang, Kyoung Hoon Lim, Joon Woo Kim, Hyung Kee Kim
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J Trauma Inj. 2016;29(4):187-190. Published online December 31, 2016
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DOI: https://doi.org/10.20408/jti.2016.29.4.187
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Abstract
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- With the development of safety measures for employees who work with dangerous machinery, the frequency of amputation injuries has been decreasing with resultant decrease in replantation procedures. However, in some patients with major amputation injury, replantation is still necessary for the preservation of limb and it's function. The replantation of the upper extremity (UE) is a complex and technically demanding surgical procedure. For the successful replantation of UE, the type of injury, reconstruction sequence, ischemic time, and other combined injury of patient should be considered. We report a case of major amputation of UE by guillotine-type injury and discuss the treatment process of this patient.
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