Presentation
The strength of the present study is the prospective nature and that ambulatory blood pressure monitoring was used. [ncbi.nlm.nih.gov]
On Admission POA Help "Present On Admission" is defined as present at the time the order for inpatient admission occurs — conditions that develop during an outpatient encounter, including emergency department, observation, or outpatient surgery, are [icd10data.com]
We present a surveillance protocol for patients with high grade unilateral congenital hydronephrosis that uses a combination of clinical and radiologic parameters. [neaua.org]
Entire Body System
- Inflammation
Regardless of etiology, all cases of congenital hydronephrosis were characterized by varying degrees of fibrosis in chorion of renal pelvis, accompanied by active chronic inflammation, observation that support the idea of connection between the two pathological [ncbi.nlm.nih.gov]
[…] present at birth) Blood clot Scarring of tissue (from injury or previous surgery) Tumor or cancer (examples include bladder, cervical, colon, or prostate) Enlarged prostate (noncancerous) Pregnancy Urinary tract infection (or other diseases that cause inflammation [kidney.org]
Ureteral obstruction may be caused by a tumor, a calculus lodged in the ureter, inflammation of the prostate gland, or edema caused by a urinary tract infection. [medical-dictionary.thefreedictionary.com]
Only one child did not have ureteropelvic obstruction confirmed in the operative or pathology report and was reported as mild chronic inflammation. [cjasn.asnjournals.org]
- Sepsis
Pain Management in Children 1061 Management of Pain 1076 U N 1097 Variations in Pediatric Anatomy and Physiology 1103 Sepsis 1114 Poliomyelitis 1125 CHAPTER 27 1138 Seizure Disorders 1150 Contraception 108 Choosing a Contraceptive Method 124 Menopause [books.google.com]
Increased risk of urinary tract infection (UTI), sepsis and stone formation due to urinary stasis. Certain points along the urinary tract are more susceptible to obstruction: Pelvi-ureteric junction (PUJ). [patient.info]
Gastrointestinal
- Abdominal Pain
CASE REPORT: 6-year old girl was admitted to the hospital because of 2-day history of high fever, abdominal pain, progressive deterioration of general condition and ultrasonographically (US) detected left hydronephrosis. [ncbi.nlm.nih.gov]
It can cause hydronephrosis and abdominal pain. Compression of the ureter may lead to hydronephrosis. Plus A B C D E F G H I J K L M N O P Q R S T U V W X Y Z 0-9 [fr.bab.la]
If a child has more severe hydronephrosis, they may experience one or more of the following symptoms: Abdominal pain with nausea and/or vomiting, especially after large fluid intakes. Flank pain (just above the hipbone slightly to the back). [choc.org]
Most patients present with nonspecific symptoms, including dull abdominal pain, of less than 12 months' duration but patients can present with the complications of the fibrosis. [patient.info]
The main clinical presentations were high fever, abdominal distention and abdominal pain. The kidney on the left side was 4 times more commonly affected than on the right. Vesicoureteral reflux was demonstrated in 8 kidneys. [ci.nii.ac.jp]
- Abdominal Mass
We experienced a case of pararenal pseudocyst, right and congenital hydronephrosis, left with posterior urethral valve in a 2 minth old male baby whose chief complaint were abdominal distension and palpable abdominal mass, for 10 days before admission [kjp.or.kr]
Abstract A 3-day-old girl in good health was referred to our department for the evaluation of an abdominal mass detected at birth. Prenatal ultrasound (US) examinations had shown no anomaly. [ncbi.nlm.nih.gov]
Some infants with severe hydronephrosis may have abdominal distention or palpable abdominal mass. [gaurology.com]
Ureteroceles may also present with a palpable abdominal mass or cystic intralabial mass (the result of a large ureterocele that has prolapsed through the urethral lumen) (8). [hawaii.edu]
SPECIFIC abdominal inspection and palpation – inspection can reveal skin folds, like seen with PBS; large hydronephrotic kidneys can be palpable; in fact, a palpable abdominal mass in the newborn should be considered renal until proven otherwise (usually [clinicaladvisor.com]
Cardiovascular
- Hypertension
OBJECTIVE: Renal disorders can cause hypertension, but less is known about the influence of hydronephrosis on blood pressure. [ncbi.nlm.nih.gov]
The remaining twelve sections cover various types of diseases, including hypertension, urological problems, and urinary tract concerns. [books.google.de]
Increased renin production by acutely obstructed kidney → hypertension Hypertension (not in chronic cases). Damage to interstitial cells → reduced erythropoietin production → anemia (chronic cases). [vetstream.com]
[…] indicated if there were evidence of deterioration on MAG-3 of more than 10% and/or high grade obstruction indicated by a drainage time of greater than 20 minutes on either the initial or followup MAG-3, with the presence of at least one of the following: hypertension [neaua.org]
Skin
- Excoriation
Meticulous skin care is provided to the tube entry site; if urine leaks around the tube, a protective skin barrier is provided to prevent excoriation, and the wound area is bagged to preserve the patient's dignity and to help prevent infection. [medical-dictionary.thefreedictionary.com]
Neurologic
- Confusion
Since the bags of cysts can be confused with severe dilatation of the kidney related to a severe ureteropelvic junction obstruction, the doctor may want to look at the kidneys with a nuclear renal scan to differentiate between the two. [cybernephrology.ualberta.ca]
Failure of the ureteral bud to stimulate development of the metanephric blastema may result in multicystic, dysplastic kidneys, which may be confused with a hydronephrotic kidney. [hawaii.edu]
Urogenital
- Kidney Failure
If kidney failure occurs, treatment will be needed with either dialysis or a kidney transplant. However, most people can recover from hydronephrosis if treated promptly. [kidney.org]
ADPKD is a fairly common cause of kidney failure in adults. [cybernephrology.ualberta.ca]
Kidney failure rarely occurs when one kidney is affected because the other kidney can usually compensate for the bad one. If the patient only has one kidney to begin with, however, kidney failure will occur if the condition goes untreated. [medfriendly.com]
If urinary flow is not restored, the kidney tissue dilates and atrophies, and chronic renal failure may occur. [medical-dictionary.thefreedictionary.com]
If complete obstruction occurs, kidney failure may follow. [3] Blood tests may show impaired kidney function (elevated urea or creatinine ) or electrolyte imbalances such as hyponatremia or hyperchloremic metabolic acidosis. [en.wikipedia.org]
- Renal Insufficiency
Renal insufficiency or chronic kidney disease. Bladder dysfunction. Pain. Prognosis Prognosis is dependent on the cause, location, degree and duration of obstruction. [patient.info]
Prune Belly Syndrome (Eagle-Barrett Syndrome) treatment involves optimization of urinary tract drainage, management of renal insufficiency, and antibiotic prophylaxis. [hawaii.edu]
US of renal insufficiency in neonates. Radiographics 2002;22:1429–1438. 39. Hodges SJ, Werle D, McLorie G, Atala A. Megaureter. ScientificWorldJournal 2010;10:603–612. 40. Berrocal T, Lopez-Pereira P, Arjonilla A, Gutierrez J. [e-ultrasonography.org]
US of renal insufficiency in neonates. Radiographics. 2002;22: 1429-38. 93. Kaefer M, Barnewolt C, Retik AB, Peters CA. [indianpediatrics.net]
- Renal Function Impairment
DISCUSSION: Correction of the obstruction lowered blood pressure, and the reduction in blood pressure appeared to correlate with the degree of renal functional impairment, but not with the excretory pattern. [ncbi.nlm.nih.gov]
Workup
In the majority of cases, a postnatal ultrasound is the initial step in the workup of congenital hydronephrosis. [link.springer.com]
Since it is not a disease per se, the extent of postnatal workup and intervention is largely based on the philosophy of the service treating the patient and expert opinions. [clinicaladvisor.com]
However, in the remaining 35% of cases of prenatal hydronephrosis, a pathological condition can be identified postnatally. [8] Diagnostic workup depends on the age of the patient, as well as whether the hydronephrosis was detected incidentally or prenatally [en.wikipedia.org]
X-Ray
- Nephrolithiasis
Acute upper tract obstruction [ 6 ] See also separate Urinary Tract Stones (Nephrolithiasis) article. Advise patients that most stones 10 mm in diameter will require intervention: Acute symptoms rarely last for more than 72 hours. [patient.info]
Serum
- Abnormal Renal Function
These infants were divided into two groups on the basis of renal status: (1) abnormal renal function and/or surgery required (n = 31) and (2) normal renal function with no surgery required (n = 14). [ncbi.nlm.nih.gov]
Treatment
In three children the treatment was converted from conservative to surgical. Nonobstructive, congenital hydronephrosis is a benign condition not requiring any medical treatment, but aggressive observation is indicated. [ncbi.nlm.nih.gov]
Early diagnosis here becomes important to initiate treatment on the immediate basis. It is easy to detect fetal hydronephrosis in the 12th and 14th week of gestation period. [drsanjeevbagai.in]
Harrison at the Fetal Treatment Program, 585 HSE, University of California, San Francisco, CA 94143. [nejm.org]
Prognosis
Prognosis - Congenital Hydronephrosis Not supplied. Treatment - Congenital Hydronephrosis Not supplied. Resources - Congenital Hydronephrosis Not supplied. [checkorphan.org]
What is my baby's long-term prognosis? Long-term prognosis is excellent for most of babies with hydronephrosis. Even if your baby has only one working kidney, he or she can live a full life with few limits on activity. [chw.org]
[…] features: dilatation of the renal calyces dilated ureter if the obstruction is distal concurrent oligohydramnios if there is a bilateral obstruction (or unilateral obstruction with significantly impaired renal function in the other kidney) Treatment and prognosis [radiopaedia.org]
Prognosis : if treated early enough, renal function may still be intact → ureteral function may return to normal. Pathogenesis Etiology Urolithiasis Urolithiasis. [vetstream.com]
WHAT IS THE PROGNOSIS FOR PEOPLE WITH HYDRONEPHROSIS? The prognosis for people with hydronephrosis generally depends on how severe the condition is. Mild cases generally have a better prognosis than moderate and severe conditions. [medfriendly.com]
Etiology
In analyzed cases of congenital hydronephrosis, correlation specific cause-pelvic lesion evidenced histopathological differences related to etiology. [ncbi.nlm.nih.gov]
Certain conditions have both an underlying etiology and multiple body system manifestations due to the underlying etiology. [icd10coded.com]
Bilateral renal pyelectasis demand thorough evaluation and even genetic study to detect or exclude trisomy 21 as an etiologic background. [panoramascan.com]
Pathogenesis Etiology Urolithiasis Urolithiasis. Iatrogenic: ligation of ureter during ovariohysterectomy, complication after surgical correction of ectopic ureter, complication after neoureterostomy for renal transplantation. [vetstream.com]
Epidemiology
Author information 1 Paediatric Department, Kolding Hospital, Kolding, Denmark. [email protected] Abstract OBJECTIVE: To describe prevalence, prenatal diagnosis and epidemiology of congenital hydronephrosis (CH) in Europe. [ncbi.nlm.nih.gov]
Epidemiology Age Urinary tract obstruction occurs most commonly in the young and the old: In older men, this is a relatively common condition due to prostatic enlargement: Incidence of lower urinary tract symptoms (LUTs)/BPH averages 15 per 1,000 man-years [patient.info]
Epidemiology United States statistics Hydronephrosis is the most common pathologic finding in the urinary tract on antenatal screening by US, accounting for 50% of all abnormal findings. [emedicine.medscape.com]
Pathophysiology
Each disease-oriented section begins with an up-to-date review of pathophysiology and then focuses on specific diseases. [books.google.de]
Pathophysiology Obstruction at level of the renal pelvis or ureter → obstruction of normal urine flow → back pressure on kidney and ureter → dilation of renal pelvis and ureter proximal of obstruction → initially reversible decrease in functional glomerular [vetstream.com]
Pathophysiology:• Anatomic and functional processes interrupts the flow of urine.• There is a rise in ureteral pressure causing stretching and dilation; if pressures continue to rise, leads to decline in renal blood flow and GFR.• When significant obstruction [slideshare.net]
Fred Makau,understanding pathophysiology(2018) Kenya. External links [ edit ] Hydronephrosis Diagnosis and Treatment at SSM Health St. Louis Fetal Care Institute Hydronephrosis symptoms, diagnosis, treatment and general information [en.wikipedia.org]
Pathophysiology The ureteral bud arises from the mesonephric (wolffian) duct during the fifth week of gestation. [emedicine.medscape.com]
Prevention
In neonates with moderately--but not with severely--reduced renal function, early surgery is effective in the prevention of deterioration. [ncbi.nlm.nih.gov]
Prevention - Congenital Hydronephrosis Not supplied. Diagnosis - Congenital Hydronephrosis signs and symptoms of Hydronephrosis congenital may vary on an individual basis for each patient. [checkorphan.org]
Early intervention with antibiotics may prevent kidney damage since antibiotics have recently been shown to reduce the risk of future infections. [nyulangone.org]
Kidney stones can be prevented by dietary changes and medication. Prompt evaluation of infections and urinary complaints will usually detect problems early enough to prevent long-term complications in your child. [texaschildrens.org]
Prevention Kidney stones can be prevented by dietary changes and medication. Prompt evaluation of infections and urinary complaints will usually detect problems early enough to prevent long-term complications. [medical-dictionary.thefreedictionary.com]