FA 2019 pg. 587 on hydronephrosis +Distention/dilation of renal pelvis and calyces [.l Usually caused by urinary tract obstruction (eg, renalstones, severe BPII, congenitalobstructions, cervicalcancer, injuryto ureter);other causes include retroperitoneal fibrosis, vesicoureteral reflux. Dilation occurs proximal to site ofpathology. Serum creatinine becomes elevated if obstruction is bilateral or ifpatient has an obstructed solitary kidney Leads to compression and possible atrophy ofrenal cortex and medulla.
I EADTH isht ie,prutc tusj ikel yreveneo ,esel lol, so I idd esom roem ding.ggi oyreEvne bowel is cr,tcero ahtt teh eiroetnaptns is uggisgtsne an oiunsefitc cssor.ep ITUs nac esauc ceuta iy,oenhspilterp dna if coi,rhcn persesosgr to n.horcic itsyiehoPnelrp is a etbaiitturousinllt .easdise I noudf thsi raioofimtnn grgeaindr ti, dan in the slta pta,r ti iecrssedb eht osgsr olpygahot fo oirhcnc srlpiynpeieot.h ormF my npito,tairetren it susdno ikle athw teh turepic is g,nhwosi ubt I sawn't bael to infd a /ujtetrtbse as odog noe nlnioe yt,e so I dnt'o ownk rfo rsu.e
cetAu ltTsnuloribiitateu hptiiNse:r cueAt nfaoimanimtl of lueustb and sritnttiemiu nca usaec R,AF and if het fnmylarimtao spesocr stpssier itsh nca vveelo tnio ccnirho tiebautlsuriitotnl ihisrptne dan hnicrco tetiilsrnati biiosrfs dna abuturl tyhroap ihwt risk fo rpoinorgses to gsdaetne- nkeidy ieaseds. Tow ajorm eaetscgoir fo acteu utbtrulstoiiaitenl iirsnepht rea etauc tnselropihipye nda uceat yhytisneptriiesv ttsutntrilaoibueli irpsnti.he
ucteA itelrs:pyinphoe duaesC yb aeltbirac cneftonii smot loycmnom .E icol ctonfe.nii iHvntpyyesreitsi itatresliiutboltnu s:rtnpiihe auesCd by na aicellrg sseoen,rp rof pxaee,ml ot a drug or ertoh suestsbnac atth ear is,ndeget shcu sa eharlb smideer.e
By arf teh mtso oommcn uteor fo tonniifec ni tacue pietilpheornsy si an cdigsaenn ecofninit in hte uairynr att,rc rof paxmee,l ederivd rofm a tabcilrea abdredl tcoei.nfin tAceu ypieoehirtlspn = eneetivsx lnxfiu of NsMP iwtinh the tstim,tiiernu beulust l,utitbsiu)( nda snulme fo ulsbuet W(BC ac)sts (2t/yPttlD:iB//ypJi.bh).
thWi crnepestise or ucrrreeecn of tcuea phiteer,pisnoyl eth edssiea rsosepc eseolvv ntoi cirhonc ltnisehpyipeo,r cwhih lauslyu si ccnaepmaiod yb rmekad eoisnro of eht llippryaa itp tgilsernu ni ialniodt fo the dtnaeajc ylacx si.ica(letsc)a
eTh tosm rehcsartiitacc ghtaclpioo rfeaesut fo hncocir ohreitpensiylp rae the ssogr asncgeh in het yiknde hiwt sodr-abdabe scasr ni hte hreycnpmaa oliegnyrv aeasr of cctialor and dlrmeuayl pyaohtr hitw dacejatn csclstaeai.i ol,As the rponneastiet utsggess rsorsnhdhpeoyi, and mfor ym sh,erraec opodish,hsynrre ewnh eec,iovn/rsrhc nca necutrtoib to teh mrkdae osls of xeroct and bcrsioassfsi/r of hte dealmlu (ht./tNtHaethREN0supw/Ahmd.p/:hMRTt.L0eb/m7eALa.dElu) dna iateccaliss hchiw( I hnikt is ersnpet no ihts .uectir)p shiT is the tsecols crtipeu wthi oiipscnetrd I doclu ndif thta tmcehsa eht smte ttseonipraen .i.e( rrhtodyerue adn por,rhysodihnse gtssegnuig etlrucavesiore euxlrf enaildg to ietncofni rfmo a" logn ignndsat nbutrtscoio brpl(aybo nl)at"ogicen so eliykl mrfo a ihc)dl RLuA:pEAedMlh/hpLtths.meEb.utN/e.wmN80aT0.thHt/a/Rd.
os,lA to otnimne on eht oerth centomms nxeersisgp sotfriutrna tath teh smae rpuceti asw udes for omutsr nad tluuarb hrapto,y rmfo wtah I rad,e hatt gorss ,ygphtaolo is eht aelgenr raancppaee fo udrtheyoerr due ot icottrbusev oyhurpta (e.i. auubrtl rp,oatyh ifrairsc,orsbgsin/ ltxilaiyacc/essca l,niditao nda niht lraiccto irm ude to py.ahotr cnoaentoy.llhomogiP ssay thta hte tlecsiaaics si texegredgaa ni lses eevres cl/ssiarapate totcosbnriu neics FGR si not uepdsrsesp c./otesl/ondicy/clostutikarywlmpuohht.tgtoe.itwi:wspot/pbevmhn.)
pHoe tshi eshpl veeyeo!rn It suer ledphe m,e utb koto YWA oot long to ens,danrdtu o.ll
rpeSu ygionnan eyth rae gsiun hte emsa ceptuir TBU ouy nca ewnrsa whti eocsrsp of inileito.man oN mass in het uictper so not oshsametatolniosbpr or .CRC 4 raey odl os otn omyl.soisida eSmt dsoe nto lelayr ecu ouy onit oumarbemns N.G edsnIat it kaslt obatu IsUT chhiw oulwd hvea nroiaamlfmyt cspessero ;&--gt ieinsltaittr mloi.nniaamft
Is ihst saygin ereht si eevrucolietrsa ?fuxlre I cdlou hvea womrs hsti amse igema swa no morf 02 ro 12 adn eht nwesra asw milsW urmto
Why si iths taisnIiltre tionmfmI?nlaa I tareudnsdn tsih si a UVR suignca s.rdrshpneiohyo
eiucPrt shwos iatddle erruet dan ralne piselv
oincChr LYPEOitsinhepr oel(yp = evpsli) tl&=; enetrcrru ospeesdi fo ctuAe Pytpeliserniho ;&t=l ITU
hsiT atpnite lkelyi has ivrrsetlecoaue felxre aednlig to ntreucerr sUTI.
Preuict ssowh idaldte urteer nad anrel vieslp.
ocinhrC EOYPLnrhtipise opye(l = levisp) ;tl=& cnrrrutee esdopise of eAutc isrPileoehtynp &tl;= UTI
iTsh ntpeati illeyk hsa ecevreulrosait xeelrf egdnlai ot rurerenct .TsUI
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