sI't satantnioril lcle naicoac,rm iwhch onmgiks is a monomc ksir cfotar ;ofr it anc vonevil hte lrnea clilce/ysev.spa The iosht gaime hsosw hte rlappliya aentur of hte rumot veh(ewor it anc lsoa be lfta ro lanudor rgoaccdni ot taho.a)Pm
Also nnkwo sa eoialrhutl n.ocarcmai Mtso moocnm omtru fo yuarrni tract ytmsse nc(a ucroc in rlaen laecy,sc relna lpvi,es er,rtsue dan dl.er)bad Can eb gutgeessd yb elassnpi arthaueim o(n sts)c.a
Etiology → Cigarette smoking is major risk factor (50-80% of cancers, risk associated with duration and intensity) Also arylamines (2-naphthylamine) and aniline dyes In developing countries, Schistosoma haematobium ova are deposited in bladder wall and cause chronic inflammation, squamous metaplasia, dysplasia; 70% of tumors are squamous cell carcinoma HPV may cause condyloma, squamous dysplasia, squamous cell carcinoma sequence Phenacetin use (usually long term use in younger women, tumors involve upper collecting system) Chronic urinary tract infection and calculi Rarely cyclophosphamide with long term use
SPOLIER ALERT for future readers, the content following may contain subjects seen in other NBMEs
either bladder cancer (unilateral in this case) or transitional cell carcinoma (also uni) are precipitated by smoking inhalant toxic injury. BUT what matters more than the cause is that the reader recognize that this is without a doubt
obstructive hydronephrosis with dilated pelvicalyceal system and cortex of kidney showing atrophy and thinning.
Assuming that the pt lost blood from the MVA - this would further enhance the renal ischemia (PCT and ascending LOH are both very sensitive to ischemic conditions 30 minutes of blood loss is enough to exacerbate the already ischemic conditions.
sI tsih hte eon whti the proo inkdey thta wsa tcu ni hafl naatisg tis wlil dan sha a ddlieta adlsit truee?r If so, aolpbbry gnwhsio su antroilsniat mcaarnico hitw ldim aiivnnos into taht slidat e.retru mahtaoP dsoe a tyeptr mwsoeea jbo of nialktg utoab GU canrecs nad( msot )rncscae ((adn stmo dnime)cie) .OIM
hisT si TALRYLEIL eth esam othpo heyt edus to rbiesecd eht --lda4reoy ybo iwth fsedfiu arlccoit srensico mrof ENMB .81 Cna ensmooe nixpela thasw' iongg on rhee