Snapshot A 68-year-old man presents to the emergency room with a 2-day history of abdominal pain, nausea, and vomiting. He denies any urinary frequency or urgency and denies any recent changes in his diet. His temperature is 100.4°F (38°C) and pulse is 104/min. He has a past medical history significant for type II diabetes mellitus and coronary artery disease. He has had two stents in the past three years. On physical exam, there is bilateral flank tenderness upon palpation. A non-contrast computerized tomography (CT) scan without contrast is negative for urolithiasis. A CT scan with contrast reveals a wedge shaped perfusion defect in both kidneys. Introduction renal infarct Clinical definition login to view 1 more bullet Epidemiology login to view 5 more bullets Etiology login to view 12 more bullets Pathogenesis login to view 1 more bullet Associated conditions login to view 1 more bullet Prognosis login to view 3 more bullets Presentation Symptoms login to view 3 more bullets Physical exam login to view 6 more bullets Imaging Spiral CT without contrast login to view 2 more bullets CT with contrast login to view 6 more bullets Studies Labs login to view 4 more bullets Urine studies login to view 2 more bullets Electrodiagnostics login to view 1 more bullet Diagnostic criteria login to view 2 more bullets Differential Renal atheroemboli login to view 2 more bullets Nephrolithiasis login to view 2 more bullets Treatment Medical login to view 8 more bullets Percutaneous endovascular therapy login to view 4 more bullets Complications Repeat thromboembolic events Renal failure