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.
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ayriUnr tcrat tnscoineif rea hte msto onmomc qcidareu cuaes of cieVetoisruc uRflex )V(R ni .dhlrince VR can dale to elfRux hypprthNaoe, cwhih is ezitcarhredac yb oncrhic lerbuiauintttltiso mtnalfnomiai iwth sifbrosi dan s,airrcng inegdal ot alern a.lerufi