The evaluation of a kidney injury begins with a history and physical exam.

Physical findings in someone with a kidney injury may include:

• Abdominal contusion
• Abdominal swelling
• Abdominal tenderness
• Back contusion
• Back tenderness
• Blood in the urine
• Flank contusion
• Flank tenderness
• Rib tenderness

Tests that may be used to evaluate a kidney injury include:

• Complete blood count
• Kidney profile
• Urinalysis

Imaging tests that may be used to evaluate a kidney injury include:

• CT scanning of the abdomen:
• An excellent test for excluding kidney injury
• Abdominal ultrasound
• Abdominal x-rays
• Chest x-ray
• Cystogram:
• Also used to evaluate bladder injuries
• Intravenous pyelogram
• MRI scan of the abdomen
• Renal arteriogram