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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The msto irtcchtceaairs phoaotlcig atsfreue fo ocnhicr ereyipolnptihs are teh gsrso ecnaghs in the kenydi thiw osb-ddreaab cssra ni teh eamrnpayhc iyvlrgneo esara of otrliacc and lmreyldau tyorahp wthi aetjadnc eiasicat.lcs ,oAls eht orniettsanep etsussgg honrdory,hsesip dna omfr my rhe,aecrs e,yoprhhdsisrno ehnw ncviecheror,/s cna rbunottcie ot het emdakr slso fo otxrce nda cfss/abriossri of het ulamdel (LLt/EaAu..mNhmRNstuEHhwlpbee/AtRTea:M0hpd./7d.tt0/h) dna actiaisslec hchiw( I thikn si nertpse on hist i)cpu.ter shiT is het etlcoss iceprtu tiwh crtiepiodsn I luocd fdin ahtt ascmhte eth tmse aeeotnrpinst (.e.i htoerruedyr dna epryindssoh,rho gnggsstieu iotevceersrlau fxluer iaendlg to tieinofnc ormf "a nglo nantsigd ontstiorcub roab(ylpb ta)g"oecnnil so lleyik from a chlid) th..Hdldhbpthtwhm/T0:apAmaetRMeNs.tR.LuE/0N/8eAEuL/.
l,oAs ot oitmenn no teh toehr cesmtnom grsxpnseei tiforntuasr hatt teh emsa piuectr wsa sued rof smrout dan rlubaut h,tporya rofm athw I ,arde htta ogrss ylagtoph,o si hte enealrg nearpcaeap of hrytdeorreu deu to ictroetsubv atyhurpo .(e.i ltrbauu rhao,pyt snicgaisoi/frb,srr aeaytcsxialcslci/ noda,ilit adn tnhi lcoirtca rim due to .rtpayho yncPae.hlnotloiomgo sasy ahtt eth tcacsiliase si geagteexadr ni sles eevser salictresa/ap snbicuortot ecsin GRF is ont erpsseusdp :hwbkg/otptt.cwsl.pn/tl.ltoeysuer/voimohec/upshitwctmaiointdoy).
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hyW si hsit intsilIater ?otfnnalImaim I nedndtsrua hsti is a UVR sicgnua phonh.edysisror
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Crcnhio YOLPEieitphnsr polye( = se)ilvp ;l=t& reteurrnc episodse fo etucA tnhirselPoyiep l=t&; TUI
Tsih niteapt ikelly sah turvlaeecisero xfreel eialngd to tnercreru sT.UI
erPctui sswho ialddet utreer and rnlea esvipl.
iCcohnr POYELtirspiehn o(lpey = p)sevil t;=l& uecternrr eesiopds of eAcut lreietPnoyshpi l=;&t UIT
This tnteiap iekyll sha lasceeouetirrv lrefxe ilegnda ot crurenrte sITU.
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