Hematuria Case Study

Case Study #2 - Hematuria.
1. Why did this patient require a retrograde pyelography and an antegrade pyelography?
Retrograde pyelography is an invasive inspection of the kidneys from a distal way through the ureters. It has been used as a primary method infrequently, but it has a few probable signals when it can be a secondary method. Retrograde pyelography is mostly used to examine lacerations of the ureter. It generally necessitates a universal painkilling, and may end in the introduction of germs. The test can help discover what is the basis of the patient’s urinary issue. It can recognize obstacles such as tumors or tapering in the kidneys. It is habitually done if other examinations have been unconvincing. The test should expectantly give
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The patient needed an antegrade pyelogram because other imaging examinations did not give the doctor enough evidence to reach a conclusion. The patient may have a blockage and the dye would not flow any further or may be deferred in the kidney. The antegrade pyelogram may also be used to evaluate the state of the patient’s kidneys. It can either prevent the surgical intervention or represent a follow-up procedure. In this case, the doctor may use a special pipe to pass the urinal flow around the obstruction or use a kidney pipe to release the …show more content…
The doctor should also discuss the probable risks with the patient.
2. If, after cystoscopy, this patient had complained of lower abdominal pain and had developed a temperature, what would you suspect and what would you do?
Cystoscopy is a type of examination that permits the doctor to look at the inner sides of the bladder using a thin tool termed a cystoscope. The cystoscope has been put into the patient’s urethra and gradually introduced into the bladder. Cystoscopy lets the doctor see the parts of the patient’s bladder and urethra that typically are not perceived well on X-rays. Miniature surgical utensils can be introduced via the cystoscope that let the doctor complete the tissue removal or get rid of the urine samples. Tiny tumors and bladder stones can be eliminated throughout the cystoscopy. This may eradicate the necessity for more surgery, but it might be the reason of blood leavings in the patient’s urine. A grave flow of blood happens infrequently. The patient experienced abdominal ache and a burning feeling when emptying the bladder. These indicators are normally insignificant and slowly fade after the

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