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27 Cards in this Set

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Painless profuse total hematuria


Pain


Abd. Swelling

RCC

Hypercalcemia +polycythemia +amyloidosis

Para malignant §

RCC +WILMS TUMOR

Fingre in gloves

Rcc

Invest. For Renal tumores

U/S


Spiral CT


IVU spider leg app. (Dilated Elong. Amput. Ddistorted)


Staging: X ray cannon ball chest bone scan u/s

Ttt of scc of urinary bladder

Radical cystectomy


& permenant urinary diversion

Chemoresistant


Radioresistant

Ttt of transitional cell carcinoma of urinary bladder

Superficial :Transurethral resection


Muscular : radical cystectomy


Interluken-2

Turp syndrome

Hypervolemia .dilutional hyponatremia ..hemolysis

Meriotism

Abd. Distention after 24-48 hrs due to hematoma

Extra peritoneal injury

Hematuria apsent in renal injury if :

Superficial tear


Avulsed pedicle


Clot retention


Traumatic anuria

Best invest. For renal injury

US


X ray


CT


Angiography

Fillness of retro-vesical puoch

Renal injury


Intra peritoneal rupture of UB

FAHM +pain loin +hiccough


Psoas spasm + rebound tenderness

Peinephric abscess

Ttt u/s guided drainage


Lumber incision +drain c/s if multi-locular

Obliteration of psoas shadow


Scoliosis


Elevated fixed diaphragm

Peri-nephric abscess

Causative organism of pyonephrosis

Ecoli

Site of pyonephrosis

Unilateral

When will the pyonephrosis be emergency

If it is complete obstruction closed type ..the swelling will be large

Stag horn app.

Phosphate stone

Triple ammonium . Mg . Ca

Radiolucent stone

Urate stone

Hematuria not related to micturation

In distal urethral stone

Initial hematuria

Prostatic urethral stone

Total hematuria

Renal , ureteric stone

Terminal hematuria

Urinary bladder stone

Loin to groin pain

Ureteric calculi (renal also)


Infection (pyeloneph. Cystitis é asc.inf)


Hydronephrosis


Renal cell carcinoma


Carbuncle of the kidney

Ttt bilateral hydronephrosis

Start with better one

Anderson hynes operation

Reconstruction in tt of hydronephrosis

Endoscopic pyelolysis


Recently

Mech. Ttt for acute retention

Nelaton catheter


Suprapubic cath

Ttt of chronic retention

Foleys catheter

Gradual evacuation if urea >100


To avoid renal shut down & hematuria