PUJ-1 - 30 o rt side up Horse Shoe Kidney Most common of...

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PUJ in Horse Shoe Kidney Harsha, Vineeth P. Soundararajan, S. Ramesh Babu Sri Ramachandra Medical College Sri Ramachandra University
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History 10 yr old boy Presented with h/o right loin pain 2 wk Vomiting ,Dysuria, No fever Past h/o UTIs present Evaluated for renal problems earlier with USG Found to have horse shoe kidney earlier
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Evaluation Hb 12.4; TC 10300; P81, L18, E1, Plt 1.51 BUN 14, Cr 0.6, Na 138, K 4.3, Cl 104, HCo3 21 Urine R/E 2-3 PC, Protein: nil Urine C&S: no growth
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Ultrasonogram
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DTPA Scan
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DTPA scan
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CT Scan
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CT reconstruction
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CT help to plan laparoscopy
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Cystoscopy & RGP
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Laparoscopy port positions 10 5 10 5 Head Foot
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Unformatted text preview: 30 o rt side up Horse Shoe Kidney Most common of all renal fusion anomalies Two distinct renal masses lying vertically on either side of the midline Connected at lower poles by a solid or fibrous isthmus that crosses the midplane of the body Horseshoe kidney occurs in 0.25% of the population, or about 1 in 400 persons More common in males 2:1 Horse Shoe Kidney 1/3 remain asymptomatic When symptoms present: related to calculus hydronephrosis, or infection. UPJ obstruction causing significant hydronephrosis occurs in 1/3 Imaging like CT or RGP often required Treatment depends on the problem The End...
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This note was uploaded on 12/27/2011 for the course STEP 1 taught by Professor Dr.aslam during the Fall '11 term at Montgomery College.

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PUJ-1 - 30 o rt side up Horse Shoe Kidney Most common of...

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