obstructive uropathy + stone disease Flashcards
1
Q
A
2
Q
describe pathophysiology of obstructive uropathy
A
- obstruct urine flow
- back pressure of urine
- swelling in collecting stream
- decreased eGFR
- decreased renal perfusion
- ischaemia renal injury
3
Q
how is obstructive uropathy investigated
A
- urinalysis and urine ph
- ABG is sick
- UandE
- FBC
- CRP
- creatinine
- PSA
- calcium/PTH
- clotting
- urine cultures
- MSU
- blood cultures
- XR renal tract
- MRI
4
Q
what are the 2 first line scans for Obstructive uropathy
A
Pregnant/ under 16 = ultracouns
everyone else = Non contrast CT
5
Q
Describe post obstructive diuresis
A
6
Q
How do you teat a
A
7
Q
bladder stone disease
A
8
Q
what are the most common type of stones
A
calcium phosphate and calcium phosphate
9
Q
what type of stones do we get
A
calcoum oxolate
calcium phosphate
uric acid
cystine stone
10
Q
describe supersaturation
A
11
Q
A
