First, the symptoms:
1 Low back pain is persistent dull or bulge discomfort.
2 waist abdominal mass initially started under the costal margin , and
gradually extend laterally abdomen and waist , big may cross the midline of the
cystic mass with smooth surface , the edge rule , there is a sense of volatility
, tenderness obvious.
3 hematuria usually microscopic hematuria . Complicated by infection,
hematuria aggravated after stones or trauma.
4 little or no urine , if both kidneys , solitary kidney or renal function
only appears on one side the water , while patients with severe renal damage ,
and appears little or no urine .
5 oliguria and polyuria alternating part of patients seen in primary
hydronephrosis . Available at a lot of times the mass suddenly shrink after
urination , and pain relief , when the mass increases rapidly decreased urine
output , increased pain .
6 hypertensive patients with severe hydronephrosis in about 1 /3 of
hypertension , were mild or moderately elevated . May be due to the expansion of
the renal pelvis caused by compression of the renal parenchyma interlobular
artery ischemia due.
7 In the absence of spontaneous rupture of renal trauma cases, due to
secondary infection caused by rupture of the renal pelvis , causing kidney and
urinary extravasation around the hematoma . Manifested as sudden waist pain,
generalized tenderness with muscle tension.
8 secondary infection fever elevated body temperature .
9 gastrointestinal symptoms may have abdominal pain , bloating , nausea ,
vomiting, drink lots of water after the above symptoms.
10. Bilateral obstructive chronic renal insufficiency, uremia.
11 , hydronephrosis often without typical clinical manifestations, mainly for
primary disease signs and symptoms , diagnosis when hydronephrosis , presence of
hydronephrosis should first clear , and then to identify the cause of
hydronephrosis , lesion, degree of obstruction , with or without infection, and
renal damage case . Through a comprehensive and detailed collection, analysis of
symptoms and signs of history, as well as laboratory and comprehensive analysis
of the various imaging tests , and more can confirm the diagnosis.
Second, the signs: signs of further examination may percussion pain from
kidney area , mass, abdominal mass determine whether the presence of upper
urinary tract obstruction .
Third, the diagnostic criteria :
1 back pain, lumbar cystic mass .
2.B super : kidney volume increases, cortical thinning, the essence of
varying sizes liquid dark area .
3.X line intravenous urography display hydronephrosis .
4 isotope renogram , obstructive kidney diagram.
5 retrograde ureteral catheterization angiography by hydronephrosis .
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