hydronephrosis Flashcards

1
Q

what is hydronephrosis

A

excessive amounts of urine cause the kidney to dilate

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2
Q

causes of hydronephrosis

A
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3
Q

ix into hydronephrosis

A
  • ultrasound - first-line: identifies presence of hydronephrosis and can assess the kidneys
  • IVU- assess the position of the obstruction
  • Antegrade or retrograde pyelography- allows treatment
  • if suspect renal colic: CT scan (majority of stones are detected this way)
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4
Q

mx of hydronephrosis

A
  • Remove the obstruction and drainage of urine
  • Acute upper urinary tract obstruction: nephrostomy tube
  • Chronic upper urinary tract obstruction: ureteric stent or a pyeloplasty
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5
Q
A
  • massive hydronephrosis
  • a small calculus in the left kidney.
  • A single large calculus is present distally in the left ureter with accompanying hydroureter.
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