Hydronephrosis is the swelling of a kidney due to build-up of urine, caused by obstruction or blockage in the urinary tract. Common causes include kidney stones, tumors, or congenital abnormalities. The condition can lead to kidney damage if left untreated. Symptoms may include flank pain, urinary problems, and in severe cases, decreased kidney function.
임상 시나리오
Hydronephrosis:
- Definition: Dilation of renal pelvis and calyces due to urinary obstruction
- Common causes:
* Kidney stones (calculi)
* Congenital ureteropelvic junction obstruction
* Tumors
* Pregnancy
* Retroperitoneal fibrosis
Clinical Features:
- Flank pain
- Urinary frequency
- Nausea/vomiting
- Urinary tract infections
- Hematuria
Diagnostic Methods:
- Ultrasound
- CT scan
- MRI
- Intravenous pyelogram (IVP)
Treatment Options:
- Relief of obstruction
- Nephrostomy tube placement
- Surgical correction
- Antibiotics if infection present
Complications:
- Kidney damage
- Chronic kidney disease
- Urinary tract infections
- Permanent renal impairment
학습 참고용입니다. 실제 임상은 최신 지침과 소속 기관 프로토콜을 따르세요.