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ARTICLE |

Bilaterally Small Kidneys in Shock FREE

Richard W. Katzberg, MD; Stephen I. Schabel, MD
[+] Author Affiliations

Reprint requests to Department of Diagnostic Radiology, University of Rochester School of Medicine and Dentistry, Strong Memorial Hospital, Rochester, NY 14642 (Dr Katzberg).


JAMA. 1976;235(20):2213-2214. doi:10.1001/jama.1976.03260460033018
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Three cases of "shock kidneys" were demonstrated by excretory urography. A dense, prolonged nephrogram and decreased excretion of the contrast material during the hypotensive episode were seen. In addition, our cases show bilaterally small kidneys without evidence of underlying chronic renal disease, which we consider to be a normal physiologic response.

(JAMA 235:2213-2214, 1976)

REFERENCES

Korobkin MT:  The nephrogram of hypotension . Radiology 98:129-133, 1971;.
Elkin M, Meng C-H, Mendez L:  Angiographic appearance of the canine kidney in acute hemorrhagic shock: Modification by saline infusion, THAM infusion, and reinfusion of blood . Am J Roentgenol Radium Ther Nucl Med 111:716-728, 1971;.
Lusted LB, Keats TE: Atlas of Roentgenographic Measurement , ed 3. Chicago, Year Book Medical Publishers Inc, 1972;, pp 252-269.
Batson PG, Keats TE:  The roentgenographic determination of normal adult kidney size as related to vertebral body height . Am J Roentgenol Radium Ther Nucl Med 116:737-739, 1972;.
Hodson FJ: Radiographic Size of the Kidney: Normal Measurements in Adults and Children . New York, Eastman Kodak Co, Radiography Markets Division, 1967;.
Korobkin MT:  The nephrogram of hemorrhagic hypotension . Am J Roentgenol Radium Ther Nucl Med 114:673-683, 1972;.
Carriere S, Thornburn GD, O'Morchoe CCC, et al:  Intrarenal distribution of blood flow in dogs during hemorrhagic hypotension . Circ Res 19:167-178, 1966;.
Elkin M:  Radiology of the urinary tract: Some physiological considerations . Radiology 116:259-270, 1975;.
McIntosh GH, Morris B:  The lymphatics of the kidney and the formation of renal lymph . J Physiol 214:365-376, 1971;.
Haber K:  Changes in renal size as related to blood pressure during an idiosyncratic reaction to radiographic contrast . J Urol 111:288-291, 1974;.
Reeder MM, Felson B: Gamuts in Radiology: Comprehensive Lists of Roentgen Differential Diagnosis . Cincinnati, Audiovisual Radiology of Cincinnati, 1975;.

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Korobkin MT:  The nephrogram of hypotension . Radiology 98:129-133, 1971;.
Elkin M, Meng C-H, Mendez L:  Angiographic appearance of the canine kidney in acute hemorrhagic shock: Modification by saline infusion, THAM infusion, and reinfusion of blood . Am J Roentgenol Radium Ther Nucl Med 111:716-728, 1971;.
Lusted LB, Keats TE: Atlas of Roentgenographic Measurement , ed 3. Chicago, Year Book Medical Publishers Inc, 1972;, pp 252-269.
Batson PG, Keats TE:  The roentgenographic determination of normal adult kidney size as related to vertebral body height . Am J Roentgenol Radium Ther Nucl Med 116:737-739, 1972;.
Hodson FJ: Radiographic Size of the Kidney: Normal Measurements in Adults and Children . New York, Eastman Kodak Co, Radiography Markets Division, 1967;.
Korobkin MT:  The nephrogram of hemorrhagic hypotension . Am J Roentgenol Radium Ther Nucl Med 114:673-683, 1972;.
Carriere S, Thornburn GD, O'Morchoe CCC, et al:  Intrarenal distribution of blood flow in dogs during hemorrhagic hypotension . Circ Res 19:167-178, 1966;.
Elkin M:  Radiology of the urinary tract: Some physiological considerations . Radiology 116:259-270, 1975;.
McIntosh GH, Morris B:  The lymphatics of the kidney and the formation of renal lymph . J Physiol 214:365-376, 1971;.
Haber K:  Changes in renal size as related to blood pressure during an idiosyncratic reaction to radiographic contrast . J Urol 111:288-291, 1974;.
Reeder MM, Felson B: Gamuts in Radiology: Comprehensive Lists of Roentgen Differential Diagnosis . Cincinnati, Audiovisual Radiology of Cincinnati, 1975;.
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