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Congenital Hydronephrosis

Congenital Dilatation of the Renal Pelvis


Presentation

  • The strength of the present study is the prospective nature and that ambulatory blood pressure monitoring was used.[ncbi.nlm.nih.gov]
Pathologist
  • More than 90 preeminent surgical pathologists offer expert advice on the diagnostic evaluation of every type of specimen from every anatomic site. The Fourth Edition contains 3,494 full-color photographs, of which over 1,100 are new.[books.google.de]
Respiratory Distress
  • Distress Syndrome 1250 Chronic Lung Disease 1265 Apnea 1271 a Cardiovascular Disorder 1280 Congenital Heart Disease 1291 Disorders With Increased Pulmonary Blood Flow 1300 Heart Failure 1313 Hyperlipidemia 1321 a Gastrointestinal Disorder 1327 Stool[books.google.de]
  • Baby was having respiratory distress and admitted in NICU and intubated and kept on ventilator. But the condition of baby deteriorated and expired after 24 hrs.[omicsonline.org]
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]
  • 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]
  • At 2 years of age, he develops left sided abdominal pain, nausea and vomiting, without fever or chills.[hawaii.edu]
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]
  • […] 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]
  • 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]
Torticollis
  • Neuromuscular Disorder 1419 Congenital Neuromuscular Disorders 1428 Muscular Dystrophy 1434 Cerebral Palsy 1440 Dermatomyositis 1448 a Musculoskeletal Disorder 1453 Nursing Process Overview for the Child With 1459 Congenital and Developmental Disorders 1469 TOrtiCOllis[books.google.de]
Long Arm
  • This case describes the further molecular characterization of these breakpoints on the short or long arm of chromosome 7(p22-q22).[ncbi.nlm.nih.gov]
Fetal Disorder
  • Abstract Although congenital hydronephrosis is a common fetal disorder, ultrasonographic criteria for prenatal diagnosis remain poorly defined.[ncbi.nlm.nih.gov]
Kidney Failure
  • Severe cases of urinary blockage and hydronephrosis can damage the kidneys and lead to kidney failure. If kidney failure occurs, treatment will be needed with either dialysis or a kidney transplant.[kidney.org]
  • ADPKD is a fairly common cause of kidney failure in adults.[cybernephrology.ualberta.ca]
  • If both kidneys are affected, kidney failure can result. Kidney failure rarely occurs when one kidney is affected because the other kidney can usually compensate for the bad one.[medfriendly.com]
  • Unrelieved hydronephrosis often proceeds to kidney failure. hydronephrosis distention of the renal pelvis and calices with urine. If it is allowed to progress, the functioning units of the kidney are destroyed.[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]
Adnexal Mass
  • ., Acord, D.L. and Young, S.W. (2006) Likelihood Ratio of Sonographic Findings in Discriminating Hydrosalpinx from Other Adnexal Masses.[scirp.org]

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]
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]
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]
Creatinine Increased
  • Urinary (u) concentrations of MCP-1, OPN, and RANTES were measured using immunoenzymatic enzyme-linked immunosorbent assay (ELISA) commercial kits and were expressed in nanograms per milligram creatinine.[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]

Prognosis

  • Prognosis - Congenital Hydronephrosis Not supplied. Treatment - Congenital Hydronephrosis Not supplied. Resources - Congenital Hydronephrosis Not supplied.[checkorphan.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 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]
  • Prognosis Most neonates with antenatal hydronephrosis have an excellent prognosis.[emedicine.medscape.com]

Etiology

  • In analyzed cases of congenital hydronephrosis, correlation specific cause-pelvic lesion evidenced histopathological differences related to etiology.[ncbi.nlm.nih.gov]
  • 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]
  • The degree and laterality of hydronephrosis may depend on the stage of pregnancy and the underlying etiology.[emedicine.medscape.com]

Epidemiology

  • Author information 1 Paediatric Department, Kolding Hospital, Kolding, Denmark. egarne@health.sdu.dk 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]
Sex distribution
Age distribution

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 filtration[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]
  • For children with vesicoureteral reflux, Antibiotic treatment is initiated, in order to prevent urinary tract infection. Surgical intervention becomes important in case the urinary tract is completely blocked.[drsanjeevbagai.in]
  • Identifying the select group of patients who will benefit from early intervention to prevent renal damage as a consequence of hydronephrosis generally requires follow-up over time.[link.springer.com]
  • 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 131 CHAPTER 57 141 Infections Characterized by Cervicitis 152 Preventing[books.google.de]

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