2014年8月29日星期五

Hydronephrosis symptoms you know?

1 Low back pain is persistent dull or bulge discomfort.
2 waist and abdominal mass initially began under the costal margin, and gradually extend laterally abdomen and waist, big may cross the midline cystic mass for a smooth surface, the edge rule, there is a sense of volatility, tenderness obvious.
3 hematuria usually microscopic hematuria, hematuria aggravated after concurrent infection, stones or trauma.
4 little or no urine, if both kidneys, solitary kidney or renal function only appears on one side the water, while the patients with severe renal damage, the emergence of little or no urine.
5 oliguria and polyuria alternating seen in some patients with primary hydronephrosis, can be 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 about one-third of high blood pressure, was mild or moderately elevated, probably due to the expansion of the renal pelvis between the oppression caused by renal artery caused lobular ischemia.
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 fever secondary infection when the temperature rises.
9 gastrointestinal symptoms may have abdominal pain, bloating, nausea, vomiting, drink lots of water after the above-mentioned symptoms.
10. bilateral obstructive chronic renal insufficiency, uremia.

Hydronephrosis often without typical clinical manifestations, mainly for primary disease signs and symptoms, diagnosis when hydronephrosis, presence of hydronephrosis should first clear, then identify the causes of hydronephrosis, the lesion, degree of obstruction , with or without infection, and impaired renal function (Figure 1), collected through a comprehensive and detailed analysis of the symptoms and signs of history, as well as laboratory and comprehensive analysis of the various imaging tests, and more can confirm the diagnosis.

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