FA 2019 pg. 587 on hydronephrosis +Distention/dilation of renal pelvis and calyces [.l Usually caused by urinary tract obstruction (eg, renalstones, severe BPII, congenitalobstructions, cervicalcancer, injuryto ureter);other causes include retroperitoneal fibrosis, vesicoureteral reflux. Dilation occurs proximal to site ofpathology. Serum creatinine becomes elevated if obstruction is bilateral or ifpatient has an obstructed solitary kidney Leads to compression and possible atrophy ofrenal cortex and medulla.
I ETHDA tish p,criuet just eikl ynvoeree ,lese ,lol os I ddi smoe eomr igndi.gg nryveeEo bloew si roctrec, taht teh asptreetnnoi si ggestugsin na sfuitecnio cserp.os UITs nca sucea aetcu eptoylini,shrep dan fi nicrc,ho ssgrsepoer ot corhnc.i spriyhioPetenl is a eiustiotarnibltlut dee.issa I doufn isht toorfnnimai igrerngda ,it nad in eth alts atp,r it csrdbseei eth srgso aohtolgyp of iochcnr peoleiinstyh.rp omFr my enitnptor,eitra it oudnss eikl waht het rpiutec is sghi,own utb I wts'na blea to dfni a ju/btrettse as ogod oen nlonie tey, os I not'd kwon rof .seur
tuAce letiubltuiontiTsra ps:rieiNht eutcA nmmiltioafna of etblusu dna tttinurmseii cna uasce ,RAF dan if eth naytloarimfm soecrsp pssirets stih can velove otni hcnoric trboitseilltauutin tpisrehni nad rcincho iseitalrttin iiosbsfr and abuurtl atpyrho hiwt risk fo npoisoegrsr ot -gsetdnea dnekyi eseisad. Tow ojarm easrocgtei fo utace ttenbllstituaiorui isnpitrhe ear aucet stirynepiopelh dan tcaue riypnisisetvehty iiletburntiouatslt eispnt.hir
Auetc tnys:rhipeloepi adCsue by cairebatl tienonfci omst ymmlnooc .E ocil fincteoi.n nisepyrevityHtis iuturlnetliioastbt rip:teisnh Cedasu yb na crlelgai espoenrs, fro xlmaepe, to a udgr or terho encbtsussa htta era sd,tengei hscu as rhelba e.edmrsei
By arf eth tmso omomcn rtoeu of intcneofi ni etcua oterhpylinesip si na seingndac cneiontif ni hte ynriuar ra,ttc fro lxe,mepa eeddivr mfro a ieaacltbr dldebar ifoitecn.n tuAce etshroypiepnil = evexeitns xinulf of MPNs nwtiih teh rtutiie,smint slubuet u(uitsb,til) and mensul fo uetsubl BCW( stcas) (h.it/Dl/p/:PtB2ytbiyJ.)
Whti cpseetnrsie ro erecneucrr of ecaut eosehtnyri,pilp the esisade ssroecp svoevle tino oihcrcn ipheroi,tepylns wchih lauyslu is caecanimpod yb dmeakr rosioen fo the paprylali tpi rngeilsut in oliadnit of hte dnjcetaa yacxl itcies.(slca)a
The tsmo resciratchctai oaioptcglh euefastr of hicronc ylpshtoipnerie rea hte osrsg enascgh ni eht nyeidk iwht s-oearbdadb scsra in the acmyrhnepa ilengrvyo aaser of aolctirc nda ydualmerl oarpyht ihwt cntaajed csiascelat.i ,Aosl hte aoteripstenn egutsssg hreronpodss,hyi dna rfmo my ,haserrce hedhyonss,priro wehn sorcece,/vinhr nac ottecbinur ot het eamkdr sslo of rxecto nda isrforcsbs/sia of the amedllu (AtutER.0TNshhwatuabme:/h.NpL7lHmdA./pdeRtet/L.Eh/M0) and cisitecasla w(ichh I kitnh is tersenp on hsit ic)rept.u ihTs is the esolstc ieprctu wtih spointderic I ducol ifnd ttha cmeasth hte mets tretosaenipn e..(i treordryuhe and pnd,heyosrsiroh tungiessgg utsvrieoalceer relfxu ndleiag ot eiiofnnct mrof "a lnog sngtidna urscnbttooi pb(raoylb egio"atc)nnl so llykie frmo a i)dhcl EwN:ts.//hHaLA.eLlE/eudRttdbNp8/Rpathmue.Tm00htAhM..
lA,so ot inetmno no eht oerth msteomcn xnsesgpier irnuttfarso ttha hte easm eprcuti was sdue fro motsru adn trubaul oy,trpah mfro wtha I ,drae atth gossr ,othpoylga si eth erglnea eaeaprcapn of eruerrtoydh due ot etvorsiuctb ruatpyoh (e.i. ubaurlt tyr,phoa rrofnssaisi,gib/cr ciicalatexslyac/s dlni,otia and ihnt oiltcacr mir ued to htyr.opa cynliPlhogn.oteaoom assy ttah eht stlcsiaacei is ggeaxtaeedr in sles esreve capltre/sasia uosicnrtbot cesin RFG is ton rpdessespu psimtko/titbsctvoulewtlsctp/anpo.ntthy.:owueyidrg.eh/owiohlmc/).
poHe tihs lhsep reenvyoe! tI uers ephedl e,m ubt ootk YAW too lgon ot ,narddtenus l.lo
eSrpu onainnyg they era gsuni teh mesa tiucrep UBT oyu can rsawen iwht ossrcpe fo ailintinoe.m No asms in hte rpuitec os ont hsropnottlmeaisbosa ro C.RC 4 eayr dlo so otn os.dysiamilo Semt osed otn aeylrl uec uoy iont onsrumeabm N.G ndaeIst it tkasl aobut sIUT hhciw lwdou ehva ytaiofarnmlm sreopssce -&;t-g trisnaiiltte n.iaaiolfmmtn
Is thsi nasiyg teerh is siorvtraleeuce reluf?x I doluc evah rswom tish esam gaiem aws no mfro 20 or 21 adn teh wneras was sWlmi tourm
Why is ihst tIreitlains miannIlo?fmat I rduestnnad tshi is a RUV niusacg rons.hoipyhesdr
cireutP howss dildate trueer adn ealrn vileps
Cincrho LPEYOhiinprest elyp(o = vsl)eip t&l=; urrtcenre sdipeseo fo cetuA potihPlseeirny lt;=& UIT
isTh eatipnt kliyle hsa eltoiceuearsvr efrlex ilgenda to neutrrcre IUT.s
cPurite owhss ietaldd turree and eraln ipslev.
nCcrhio LPEOYpreshtiin lpeo(y = evlps)i t&l;= rutecrnre depossie of cutAe shpPtrielyieon ;t&=l UTI
Thsi aietptn leliyk hsa ucioetleeasrvr fxeler gdaneil to rernreuct ITUs.
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