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 HDETA htis ,crptuie juts lkie reeyveno sl,ee ,oll os I ddi oems meor di.igggn veEoeynr lbewo si cetro,rc ttha the ttsannoerpei si gnegtuisgs na ecfsnuotii rsce.sop ITsU acn ceaus eacut ,tsiyhelierponp adn if ich,nroc ressgropse ot cihn.cro tneyeshipPiorl is a rsbuntttaiteiuloli idseaes. I noduf ihst iantmoonrif nerrgadig i,t nad in eht tsal ,ptra it bredseics eth sgros gaohylpto fo hccrnio n.tspoehyiielpr Fomr ym oinaepteritn,tr ti sodsun eilk hwat teh ircptue si wh,iogsn tub I tnwa's leba ot dfni a tttubjser/e sa gdoo eno loinne yte, so I on'td kwno orf ru.se
Auetc aitliToltsiutnuerb s:teihpNri etAuc alamtnfnimoi fo tseluub dna tetintrmsiiu can casue F,RA dna fi hte oimyraltmanf esrcpso ispsters iths anc lvveeo itno hricocn olutiutrtsbeaiitnl hreisnpti and cohnrci trialtetnsii sbiofsri nda burlaut atohryp tiwh rksi fo ronipoergss ot dteage-ns kdnyie seds.iea Two jmoar cseoritgea of caetu siiuutobrattllniet trepshini ear ceatu hirloetepsypin dan taeuc yrsiiheiysptetvn tiolusntiiatrtuebl p.rtehnsii
cteAu tihl:nryeisoepp aduseC yb ltcaaireb cfonineit tsom nlocymom E. loci ofinnect.i pyieitrvynestHsi niiultbtaeisurlott htpnier:si aCseud by na iarllgce enrope,ss fro pmxeae,l to a dgur ro ehtro seubanstsc atth era ,engeitds uchs as eblrah iemder.se
By afr teh msot mmoonc uerto fo ocntnfiie ni eatuc isoltnripeheyp is an inascnged inoiefntc ni the ruianry c,rtat rfo pl,aeemx ideerdv from a larcibate dbrlade netfn.oiic cutAe ipynrstlehoeip = sxeeeitvn linfux of NMsP tniwih teh ,mttintuesiir luusbte slt,)tb(uiiu adn sumenl of leusbut CB(W s)cats (tyhB/t/2pi.iD:lPy/tJb).
htiW neresciptse or cercnreeru fo cetua rleyehn,iiosptp het seisdae porssce olevsve itno rchonci orli,seiypnhtep hhcwi alulsyu is nciapmcadeo yb rmakde iorsneo fo eht pyrliapal itp sltgnurei in inlaiodt fo teh ejndacat claxy lsi)ecc(.atias
heT omts sacrtcirheciat locptghoai fsreaeut of irconch ihoplsriynteep era teh osgsr ahgnsce in hte niekdy wtih odrbba-asde srcas in eht aehcmynapr ngiloeryv reasa of aorcticl dna lruamledy tyorhap with cadeatjn i.aticalssce slo,A teh peeinnasottr suegtssg hoprdso,rsheyin nad orfm ym hre,aecsr iheod,pnsrrsyho wneh /ohvicnc,rerse acn ittnecobur ot eth damrek sols fo oterxc adn isafrsosri/sbc fo eht laelmdu (7AtutdNshhMLE./hlNtep0/.0wELaeRmHb.:d./pah/RmAuettT) dna etsliicaacs hw(hic I hktni is ptrnese on stih tip)rcu.e sThi si eth ocsstle uceptir hiwt nctorspidei I uoldc dfni taht mceasht eth semt rointseaetnp i(e.. yhduetreror dan issrehd,ophyorn tggsngseiu lueicaoreverst rflexu gleaind ot ftnciioen fomr "a goln ngantdsi toctsboirnu (pobbyral "ctligenao)n os ileylk frmo a c)hdli Ath:ltERN.Nb8epmEdpdThw.0/as.Ah.mLRLth//MtteHauu/0e.
o,slA ot entonmi no hte ehort ctsmnmoe regepnisxs atuirstnfro taht hte mase uerctip wsa duse for rtmosu and ratlubu oy,prhta orfm whta I arde, htat gross yhtpaol,og is teh anleger pnpaarecae of eortyhduerr edu to bevsiotrtuc htuparyo e.(.i utlaubr arty,hop ginos/bsarirfsc,ir isacscea/yacllitx aotlni,id dna hnti rlctoaic imr due to opt.arhy yeocP.mtlnlioonahgo assy that teh islsactacei is gaeetdegrxa in ssel revees sla/paraciest cioorntbuts ncsie RFG is ont sdpursesep woap/ni/wwbhlsmls/tltgsiotcttt/:o..ykpeuymhoeiv.itcphtouedocnr).
eopH shti spehl eenyeov!r It erus peehdl me, utb ookt AWY oot ngol ot ,starudnned .lol
preSu anonygni tyhe rea sugin the smae petciur BUT ouy cna esnwra htwi ropcess fo otnmliiaein. No assm in het rcpteiu os otn ialbmsoptshaoorntes ro CRC. 4 reya dlo os not lo.dsiaismoy etSm oeds otn aellyr uce yuo toin rmeasuonmb GN. dtIasne ti lakts ouatb sIUT ihwch wdoul hvea mtranomfiayl copessres &--g;t ttliransteii tminlaafm.oin
sI siht gyanis treeh is ecrauveiosertl ex?uflr I coldu aehv somwr sith mesa eiagm asw no omfr 02 or 21 and hte enswra saw mlWsi muotr
Why is iths ltnrtsieIai nflmiInomata? I radnstuend isht si a RUV sgiucan nh.rsroephdoyis
rtciPue wshso didtlae errtue dna arnel sepliv
orChnic ELOPYhntriepis yl(epo = i)lsvpe =lt&; rurernetc dispsoee fo tecuA Pnehlotespiiry &=;tl UIT
hiTs natpite kelyli ash vlouereerstica xeflre adigeln to rnrtuerce s.TIU
trePicu sowsh leidtad rtreue nad relna vlespi.
nCochri EYLOPhpsiinter lyp(oe = si)lpve lt;&= crrrtneue opedises of uetcA ilespoyetrinPh lt=&; TUI
sThi ettapni kleyli sah velstirocueare xelfer aelgnid ot rretenurc IsU.T
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