N26.2

Clinical Causes: Kidney trauma from injury or accident Surgical procedures involving the kidney Percutaneous kidney procedures or biopsies Bleeding within or around the kidney Rupture of renal blood vessels Underlying clotting disorders leading to bleeding Underlying tumors or cysts causing rupture or bleeding

Key Symptoms: Sudden onset of high blood pressure (hypertension) Flank pain or tenderness Hematuria (blood in the urine) Swelling or a palpable mass in the flank area Nausea or vomiting due to blood pressure elevation Decreased urine output in some cases Signs of kidney dysfunction such as swelling or fatigue in chronic cases

Diagnosis Path: Diagnosis of page kidney typically involves a combination of physical examination and imaging studies. Key diagnostic steps include: - **Medical history review** to identify recent trauma or procedures - **Physical exam** detecting tenderness or swelling in the flank area - **Imaging tests**, such as ultrasound or computed tomography (CT) scan, which can reveal a hematoma compressing the kidney - **Blood pressure monitoring** to assess for hypertension - **Laboratory tests** including kidney function tests and urinalysis to evaluate renal performance In some cases, additional tests may be performed to rule out other causes of hypertension or renal impairment.

Treatment Protocols: Treatment for page kidney focuses on relieving the compression on the kidney and managing associated symptoms. Common approaches include: - **Observation** for mild cases without significant symptoms or kidney impairment - **Blood pressure management** to control hypertension - **Drainage of the hematoma** through surgical or minimally invasive procedures like percutaneous drainage when necessary - **Surgical intervention** in cases of ongoing bleeding or large hematomas that do not resolve with conservative measures - **Addressing underlying causes**, such as clotting disorders or bleeding tendencies - **Monitoring kidney function** during recovery Early diagnosis and prompt treatment are essential to prevent long-term damage to the kidney and manage hypertension effectively.