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Ureteral Disorder

Disease Ureteral


Presentation

  • Rare case of ureteral endometriosis presenting as hydronephrotic kidney. Saudi J Kidney Dis Transpl 2011;22:130-3 How to cite this URL: Gupta SS, Singh O, Shukla S, Mathur RK. Rare case of ureteral endometriosis presenting as hydronephrotic kidney.[sjkdt.org]
  • It is recommended that patients use the information presented as a part of a broader decision-making process. Please DO NOT STOP MEDICATIONS without first consulting a physician since doing so could be hazardous to your health.[ehealthme.com]
  • To our knowledge, a limited number of this kind of presentation of IgG4-RD has been reported. Previously, imaging abnormality and unexplained renal dysfunction were believed to be the 2 major clinical presentations.[journals.lww.com]
  • 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]
  • VUR is more common in infants and children ages 2 and under, but it can also be present in older children and even adults. 2 Children who have abnormal kidneys or urinary tracts are more likely to have VUR.[niddk.nih.gov]
Physician
  • Please DO NOT STOP MEDICATIONS without first consulting a physician since doing so could be hazardous to your health.[ehealthme.com]
  • Do not use salt substitutes (which often contain potassium) unless allowed by the physician. Take medications exactly as prescribed by the physician. Do not use any nonprescription drugs unless use is approved by the physician.[quizlet.com]
  • Emphasis will be placed by the physician on patient’s clinical signs, physical exam findings, familial disorders, and the presence or absence of previous renal stones.[urology.ufl.edu]
  • If your urologist discovers that an underlying illness has contributed to the kidney stones, you will be referred to an appropriate BWH physician for an evaluation.[brighamandwomens.org]
  • Always seek the advice of your physician or other qualified health provider with any questions you may have regarding a medical condition. Source: www.medbroadcast.com/condition/getcondition/Kidney-Disease[medbroadcast.com]
Weight Gain
  • Other symptoms for VUR may include: Trouble urinating (wetting pants or bed, leakages, urgency to urinate) Mass in the abdominal area (possible sign of swollen bladder) Poor weight gain (loss of appetite) High blood pressure Constipation (and loss of[webmd.com]
  • Signs of a kidney infection are: fever pain in the abdomen or back feeling unwell vomiting Long-term symptoms, if VUR is not treated, include: a palpable abdominal mass, caused by a swollen kidney poor weight gain hypertension, or high blood pressure[medicalnewstoday.com]
  • Keep a record of daily weight, and report any rapid weight gain to the physician. Take frequent rest periods; avoid heavy exercise.[quizlet.com]
  • Chronic Renal Failure Assessment: S/S —In both ARF & CRF, the client has an elevated blood pressure and weight gain. Urine output is generally decreased.[slideshare.net]
  • General care should include frequent antenatal visits to assess blood pressure, weight gain, and renal function, as well as to rule out urinary tract infection.[glowm.com]
Loss of Appetite
  • Other symptoms for VUR may include: Trouble urinating (wetting pants or bed, leakages, urgency to urinate) Mass in the abdominal area (possible sign of swollen bladder) Poor weight gain (loss of appetite) High blood pressure Constipation (and loss of[webmd.com]
  • However, in ERSD or uremia, when the toxins accumulate in a person's blood, symptoms may include: puffy eyes, hands, and feet (called edema ) high blood pressure fatigue shortness of breath loss of appetite nausea and vomiting thirst a bad taste in the[medbroadcast.com]
  • Loss of appetite. Unpleasant smelling urine. Dark coloured urine. Vomiting. If a child has symptoms that persist it is advisable to take them to a doctor. You should see a doctor as soon as possible if a baby aged 2 months or under has a fever.[medic8.com]
  • […] of appetite, or an upper respiratory infection occurs.[quizlet.com]
Fecal Incontinence
  • Try to prevent your child’s constipation if possible. treated for related health problems such as urinary incontinence or fecal incontinence .[niddk.nih.gov]
Chest Pain
  • Pain: 16 people, 55.17% Urinary Tract Infection: 15 people, 51.72% Dermal Cyst: 15 people, 51.72% Kidney Stones: 14 people, 48.28% Cardiac Murmur (an heart sound in valve abnormality): 14 people, 48.28% * Approximation only.[ehealthme.com]
Heart Disease
Osteoporosis
  • Lee WY, Sun LM, Lin MC, Liang JA, Chang SN, Sung FC, Muo CH, Kao CH, "A higher dosage of oral alendronate will increase the subsequent cancer risk of osteoporosis patients in Taiwan: a population-based cohort study", PloS one, 2012 Dec.[ehealthme.com]
  • Patho Predisposing factors: Calciuria, excessive calcium in the urine (hyperparathyroid dx, calcium-based antacids, and excessive intake of vitamin D) Dehydration Osteoporosis in which bone is demineralized Obstructive disorders (enlarged prostate) Immobility[slideshare.net]
  • […] as P. mirabilis, which makes urine alkaline, a condition that promotes precipitation of calcium Obstructive disorders, such as an enlarged prostate gland, which foster urinary stasis Metabolic disorders, such as gout, in which uric acid crystallizes Osteoporosis[quizlet.com]
Flushing
  • Get your child to drink more water, as it helps flush out bacteria from the UTI. Avoid juices and soft drinks as they can irritate the bladder. Place a warm blanket or towel over your child’s abdomen to ease pain or pressure.[webmd.com]
  • An infection may develop when the flow of urine is obstructed because bacteria that enter the urinary tract are not flushed out. If both kidneys are obstructed, kidney failure may result.[msdmanuals.com]
  • Nursing Management Provide a liberal fluid intake of approx. 2,000 to 3,000 mL to flush the infectious microorganisms from the urinary tract. LAB TEST: BUN, creatinine, serum electrolytes, and urine culture 13.[slideshare.net]
  • The nurse measures intake and output and recommends, if not contraindicated, a liberal daily fluid intake of approximately 3000 to 4000 mL to flush infectious microorganisms from the urinary tract.[quizlet.com]
Confusion
  • Do not confuse this word and its derivatives with urethra and its derivatives.[medical-dictionary.thefreedictionary.com]
  • Nursing Management This syndrome is characterized by HA, disorientation, restlessness, blurred vision, confusion, and seizures.[slideshare.net]
  • The syndrome is characterized by headache, disorientation, restlessness, blurred vision, confusion, and seizures. The symptoms are self-limiting and disappear within several hours after dialysis as fluid and solute concentrations equalize.[quizlet.com]
  • It can be confused with invasive carcinoma. Examine it histologically to distinguish them. SYMPTOMS: Can be asymptomatic, or dysmenorrhea. ENDOMETRIOSIS : Presence of benign, ectopic endometrial tissue, outside the uterus.[kumc.edu]
Hematuria
  • hematuria with dense deposit disease N027Recurrent and persistent hematuria with diffuse crescentic glomerulonephritis N028Recurrent and persistent hematuria with other morphologic changes N029Recurrent and persistent hematuria with unspecified morphologic[cms.gov]
  • N30.1 Interstitial cystitis (chronic) N30.10 …… without hematuria N30.2 Other chronic cystitis N30.20 …… without hematuria Reimbursement claims with a date of service on or after October 1, 2015 require the use of ICD-10-CM codes.[icd10data.com]
  • Occasionally, microscopic hematuria may be the only manifestation of stone disease. Top of Page[urology.ufl.edu]
  • […] alkaline urine, may lead to magnesium ammonium phosphate or struvite stones Nephrocalcinosis Acute Obstruction By Ureteric Calculi Clinical findings Renal colic is characterized by acute colicky flank pain frequently radiating into pelvis, groin or testis Hematuria[learningradiology.com]
  • These symptoms can lead to urinary urgency, frequency, hematuria, and/or gastrointestinal upset. Stone formation increases significantly when urine volume is low because of dehydration and higher saturation of the urine.[med.unc.edu]
Flank Pain
  • SIGNS AND SYMPTOMS Ureteral obstruction can cause flank pain on the effected side. The pain may be intermittent and some patients notice increased pain when drinking alcohol, coffee or increased fluids.[urology.jhu.edu]
  • pain frequently radiating into pelvis, groin or testis Hematuria Most stones are impacted at narrowest points of ureter Ureteropelvic junction Iliac vessel crossing Ureterovesical junction Imaging findings Conventional radiography 60% of calcifications[learningradiology.com]
  • Bleeding into cysts causes flank pain 38. Polycystic Disease S/S Hypertension is present in approx 75% of affected individuals at the time of diagnosis.[slideshare.net]
  • When to see a doctor Parents or caregivers should consult a doctor if the child has a strong and persistent urge to urinate, experiences a burning sensation when urinating, or has abdominal or flank pain.[medicalnewstoday.com]
  • Symptoms of renal stones may range from no symptoms, blood in the urine, urinary obstruction, infection, vague flank pain, to a severe colicky pain that is not relieved by pain medication.[med.unc.edu]
Urinary Urgency
  • These symptoms can lead to urinary urgency, frequency, hematuria, and/or gastrointestinal upset. Stone formation increases significantly when urine volume is low because of dehydration and higher saturation of the urine.[med.unc.edu]

Workup

Nephrolithiasis
  • The condition of stones in the kidneys may be called nephrolithiasis or renal calculi. You will see these used interchangeably for kidney stones. The actual kidney stone is called a nephrolith.[study.com]
  • Cystinuria, a genetic disorder, is a rare (2%) but significant cause of nephrolithiasis.[urology.ufl.edu]
  • Jungers and colleagues, “ESRD caused by Nephrolithiasis: Prevalence, Mechanisms, and Prevention”. American Journal of Kidney Diseases 2004. Ounissi and colleagues, “Nephrolithiais-induced end stage renal disease”.[kidneystoners.org]
  • August 11, 2014 Last Verified: July 2014 Keywords provided by Watson Pharmaceuticals: ureteral calculi renal colic ureteral stones kidney stones medical expulsive therapy Additional relevant MeSH terms: Layout table for MeSH terms Calculi Kidney Calculi Nephrolithiasis[clinicaltrials.gov]
  • 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]
Pyuria
  • There is usually constant dribbling of urine and commonly an associated pyuria.[medical-dictionary.thefreedictionary.com]
  • A urinalysis done either in the emergency room or by your physician will many times reveal blood (hematuria) or white cells (pyuria) in the urine. A culture of the urine is typically done to excluded by urine culture.[urology.ufl.edu]
  • In addition, pyuria is a common finding in renal disease. White blood cells, casts, and pyuria may be present as reaction inflammation of the glomeruli or kidney substance.[glowm.com]
  • The chief abnormality is pyuria, or pus (a combination of bacteria and leukocytes) in the urine (Box 58-2). A urine culture identifies the causative microorganism.[quizlet.com]
  • HEMATOCELE: SPERMATOCELE: EPIDIDYMITIS : Painful swelling of one or both epididymides with fever and a variable incidence of dysuria and pyuria.[kumc.edu]

Treatment

  • Research involving children helps scientists identify care that is best for a child find the best dose of medicines find treatments for conditions that only affect children treat conditions that behave differently in children understand how treatment[niddk.nih.gov]
  • Your treatment will depend on that score as well as your overall health. The lower the score is, the more likely the reflux will go away on its own. This is why your doctor may take a wait-and-see approach.[webmd.com]
  • Treatment depends on the cause of the problem. It may include medicines and, in severe cases, surgery. NIH: National Institute of Diabetes and Digestive and Kidney Diseases[medlineplus.gov]
  • It should not be used for medical advice, diagnosis or treatment. As always, you should consult with your healthcare provider about your specific health needs.[sharecare.com]
  • When clinical trials show that a new treatment is better than the standard treatment, the new treatment may become the standard treatment. Patients may want to think about taking part in a clinical trial.[cancer.gov]

Prognosis

  • POOR PROGNOSIS: Two abnormalities associated with poorer prognosis. Aneuploidy of chromosomes 7 and 8 is associated with poor prognosis. Chromosome 16 has Cadherin and Catenin proteins, which are associated with poor prognosis when present.[kumc.edu]
  • The prognosis of ureteral endometriosis depends on the time of diagnosis. In too many cases of bilateral obstruction, the patient is referred to the nephrologist because of an advanced, irreversible renal failure.[ncbi.nlm.nih.gov]
  • […] collection Renal enlargement Treatment Hydration maintaining urine output of 2-3 l/day Diet Restrict amounts of protein, sodium, calcium Drugs Pain medication Thiazide diuretics (lowers urinary calcium) Allopurinol (lowers urate and oxalate excretion) Prognosis[learningradiology.com]
  • Postpartum renal biopsy may be useful in determining the prognosis for patients with hypertension in pregnancy.[glowm.com]
  • Prognosis Prognosis is dependent on the cause, location, degree and duration of obstruction. Bad prognostic factors are longer duration and worse severity of obstruction, together with concomitant infection.[patient.info]

Etiology

  • ., Husmann, D.A. et al. (1994) Hydronephrosis in renal ectopia: Incidence, etiology and significance. J. Urol. 151, 1660–1661. PubMed Google Scholar Gray, S.W., Skandalakis, J.E. (eds) (1972) Embriology for Surgeons .[link.springer.com]
  • Chronic renal failure has multiple etiologies; diabetes and hypertension have replaced glomerulonephritis as a major etiology. Renal insufficiency is classified as mild, moderate, or severe.[glowm.com]
  • Obstructive Kidney Disorders: KIDNEY AND URETERAL STONES Patho and Etiology: The reason urinary calculi form is not fully understood.[quizlet.com]
  • The initial clinical diagnosis was acute renal failure of uncertain etiology. The patient refused the kidney biopsy and started on hemodialysis because of consecutive oliguria for 7days. Systemic steroid therapy was not performed.[journals.lww.com]
  • ARF is potentially reversible with early, aggressive treatment of its contributing etiology. 2. Chronic renal failure: (CRF) is characterized by progressive and irreversible damage to the nephrons. It may take months to years for CRF to develop. 76.[slideshare.net]

Epidemiology

  • EPIDEMIOLOGY: 75% of men have it by age 80. Some people say even higher. Especially common in African American men.[kumc.edu]
  • 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]
  • Faculty of Medicine, University of New South Wales, NSW, Australia (3) Faculty of Medicine, University of Western, Sydney, NSW, Australia (4) Department of Obstetrics and Gynaecology, University of Sydney, NSW, Australia References Eskenazi B, Warner ML: Epidemiology[bmcresnotes.biomedcentral.com]
Sex distribution
Age distribution

Pathophysiology

  • CrossRef PubMed Google Scholar Koff, S.A. (1990) Pathophysiology of ureteropelvic junction obstructions. Urol. Clin. North. Am. 17, 263–272.[link.springer.com]
  • Obstructive Disorders of the Kidney URETERAL STRICTURE: Pathophysiology and Etiology A ureteral stricture is relatively rare, but the incidence is higher among those with chronic ureteral stone formation.[quizlet.com]
  • Its pathophysiology is uncertain. Lindheimer and colleagues 21 suggested that endothelial damage by endotoxin is followed by the formation of thrombi.[glowm.com]

Prevention

  • Can I prevent vesicoureteral reflux? You can’t prevent VUR, but good habits may help keep your child’s urinary tract as healthy as possible.[niddk.nih.gov]
  • It prevents severe pain after a procedure. If your ureter is swollen shut, you can have severe stone-like pain for three to seven days. With a stent, urine flows freely and you don't experience this pain.[sharecare.com]
  • The ureter enters the bladder through a tunnel that functions as a valve to prevent backflow of urine into the ureter when the bladder contracts.[medical-dictionary.thefreedictionary.com]
  • Other tips include: Make sure your child takes the prescribed antibiotics, even if they’re used to prevent UTIs. Get your child to drink more water, as it helps flush out bacteria from the UTI.[webmd.com]
  • Ureteral disorder when taking Fosamax *: 0-1: 0.0 % 2-9: 0.0 % 10-19: 0.0 % 20-29: 0.0 % 30-39: 0.0 % 40-49: 19.23 % 50-59: 38.46 % 60 : 42.31 % Top conditions involved for these people *: Stress And Anxiety: 10 people, 34.48% Depression: 10 people, 34.48% Preventive[ehealthme.com]

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