Head injury among older adults and their clinical management: one year of emergency department attendances at a UK trauma center.

Objectives: Primary: describe characteristics of adults aged ≥65 attending the Emergency Department (ED) at one major trauma center. Secondary: examine co-morbidities and complications; identify use of anticoagulant/antiplatelet medication among older adults presenting with Head Injury (HI); assess clinical management against UK guidelines.

Methods: All ED admissions were screened prospectively to identify HI using case notes, hospital records and Trauma Audit Research Network data.

Ureteric obstruction secondary to retroperitoneal fibrosis leading to acute kidney injury.

A 65-year-old man presenting with apparent acute coronary syndrome was found to have an acute kidney injury. A CT scan of the abdomen revealed bilateral hydronephrosis secondary to retroperitoneal fibrosis, and an unruptured infrarenal abdominal aortic aneurysm Medical management with corticosteroids relieved the ureteric obstruction and renal function started to normalise within 72 h.