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 THEDA shti rcp,tiue ujst like nreeeoyv s,eel ol,l so I did esom rmeo ggidgn.i reyvnEoe lbeow is r,eoccrt atth the ttnoneepisar si sstgenuigg na ocseiunitf sop.ersc UTIs nca suaec uecat pep,oeslnrhiiyt nda fi hiccn,ro osrrespges to .nhricoc rseoyePpilihnt is a srtotuitbainiltleu eeiss.da I oufnd shit nioorfmnati drgeagnir it, nad in eth ltsa ,ratp ti cibedsres eth gosrs taplgooyh of rhioncc rpyesiponltei.h From my ,otnertriipeatn it ssuodn keli whta hte etirupc is ,wgisnho but I stanw' ebla to dfin a teebs/rtutj sa good eno oeilnn t,ye so I ntdo' kwno fro .uers
eutcA Tittloutrsieblunia ts:pNrhiei cAetu amanlinfimto of telbsuu nda ituentrisitm nca cueas ,ARF dna fi hte yoaflmitanrm orspsce isrstpse hist nca ovvele itno choicrn ttlnrlatiibtuoseui tiresihnp dna rnihcoc tisrtatleiin irssifbo nad rbtuual pythrao wiht sikr of sesrgpnooir to -neaedgst dyenik essaedi. woT joram caeoegtrsi fo tceua eutoiutbttisiralln ritehpisn rea ucate nipeystorlpehi nda etcua eivtsyhsrtpieiny ibonaulutisetrttil nhrpisti.e
Auect erylpn:oiiethps deuasC yb itlcreaba ntcoifien tsmo cmnyooml E. coil fioinenc.t yietnsvyirHsipet nbiiuittatullostre shrtiipn:e dusCae by an glelrica ,rsnepsoe ofr e,plamex ot a gdur ro tehor tussnacesb that aer gn,etesid schu as rhbeal siemedr.e
yB arf teh msot mocnmo uerot fo iotnnfcie ni teuca spilhriytpneeo si an engniacds ncnofieti ni eht nryirau cttar, fro pl,amxee edvedir ormf a eaibcalrt drdbeal .tnconefii cutAe ypsehipeilrton = vxesietne uxfnil of sPNM iinwht the nitteumtsr,ii tblsuue it,lstbiuu() nad nmlseu fo uueslbt W(BC astsc) (h.ylibyB/Pti2/J:ttpD/.)
thiW pinscsereet ro rceneecrru of ecuat tihpespileon,yr teh sadesei speorcs sevoevl otin ihccron loeiseh,ntipryp iwhch asulyul is paciocdmena yb mraedk neioors fo eth aliaplpry ipt lieusngtr in dloinita of eht jnteacda lxayc (cies).calista
heT tmso iethrisatarccc ihaopgtclo tauesfer fo crohnci ipohilstpenrey ear teh srgso gasnhec in eht ykiend ithw oraddaebb-s rssac ni eth yernmcaaph eovirynlg arase of oltcciar adn lmylaurde tayoprh thiw ecajntda sciisclata.e l,soA het painsrttneeo sesggtus o,ossephhnidyrr dna ofmr my ,ceaersrh rhshoiposn,redy ehnw ,ovrencr/cheis acn ecruintotb ot het drkmae ossl fo oretxc adn ifs/rbasocssri of the llmdaeu (e.Twu0Mpat7pbHhtme.lt.ud.tRe/0RasEEmhh/N//LNhdALtA:) nad teicilssaca (wihch I hktin si psreten no tihs ic)ue.prt hsTi is eht stescol pcuiret wiht coeptndiisr I locud fdni ttha acesmht eth esmt ieenosrpttan e.i.( tyhreorured nda hsphrooidery,sn tngseiggsu ousetraeercliv refulx anilegd ot fconnetii orfm "a gonl gadsitnn sniutcobtro (oaprbbly otenicn)"lag so kilyel rmfo a hcl)di RLehue.aHRdl.t0NmAwp/TEhaudh/EsMhmt.eLt//t.bp08:ANt.
Also, to eniotnm no eth hoert eoctsmmn speixnrges arosnitutrf taht hte smae urectpi asw edus rfo uomstr nad ubaltru ty,rahpo romf atwh I ra,de htat gsosr hygpoalt,o is teh negrela ceearnapap of redhyteruro ude to evbtsocuirt hrptyuoa i(.e. lruuatb rt,ahypo in/i,sirsocsabrfrg xsaeitilaayccl/sc it,aondil dna nthi tarcolci imr edu to hoap.yrt tlmo.yaoghlooiPennc ysas ttah het tlcaeassiic si gaegdeetarx ni esls reeesv aatrl/psiscea stunrooictb icesn RFG is nto erdupesssp s/pcttowi.toeosptncmw/llp:oibhdvw/yartmi.eoynthktuo.itlehcg/su.)
pHeo tsih plseh n!eeyoerv tI reus epedhl ,em btu okot AWY oot nogl ot ,ednsuantrd .oll
upreS agnoinny yeth ear ugnis eth easm rtipceu TUB uyo can nserwa wiht prcsose of nti.aeinomli oN mssa in hte eptcriu os otn sonsratoaslioebhtmp or .RCC 4 eyra odl so ont .iiamlodsosy etSm osde ont lyelar ceu ouy niot sbemaornmu GN. nsIadte ti kalst auobt IsUT chihw udwol aehv yniroaflmmta erosespcs &tg--; rslttntieiia imtaofnalmi.n
Is iths yigsna hetre is sluerecrotiave uelf?xr I ocudl veha wrsmo hits msea amige wsa no ofmr 02 or 21 nad teh ernswa was smilW ruotm
yhW si siht tseiraitlIn lmtnam?naIofi I ernnstdaud shit si a VUR isgaucn eisdoshro.pynrh
teucPir swhso ddielta rerute nad elnar eilvsp
rinChoc EPYLOrtnepiish yolep( = svleip) tl;=& urerrtcen oseisedp fo uAtce yPioehplrniste l;=&t TIU
sihT tniepat ekyill hsa iosvelerctraue xefrel gailned to rrncurtee .IUsT
ruceitP wossh edtilad reetru adn lnrae epslvi.
cnorCih YPOELsihnpitre p(eloy = lvpsei) ;l=t& ucerrnrte psisdoee of Aceut plriohisPyntee &l=;t TIU
Tsih teantip lilyek ahs caituvleeresor rlefex enldgia ot ernretcur TsI.U
submitted by โkeycompany(351)
It can be re-accessed by making a purchase.
Purchase your membership here
$279$49 65% OFFaUrrnyi rctta citnsfnoie era eht tmso nmocom qaucried sucae of eciVoerustic Rxluef )R(V in c.dnelrih VR cna eald to xuRfle hNhytpeaorp, ihwch is rctahdrciaeez yb cchoinr iuottnitulistealrb nfmioatmlina hiwt obrssfii and rragsni,c dnlgaei ot rlnae ei.arufl
$279$49 65% OFF