OBSTRUCTIVE UROPATHY

share
Last Updated : 1/3/2011
Font-size :  
Kumud P Mehta
More..
Clinical Evaluation
Clinically obstructive uropathy presents as recurrent UTI, hypertension, renal failure or calculus disease or abnormal USG. Clinical evaluation of a suspected

case of obstructive uropathy

should include weight and height percentiles to detect growth retardation which may be the first clue to chronic renal insufficiency if diagnosis is missed in first year. B.P; examination of spine for nevus, tuft of hair or lipoma (indicates underlying spinal defects); palpation of abdomen for renal lumps (hydronephrosis); persistently distended, firm urinary bladder (indicates distal obstruction due to PUV) should be looked for. Observing urinary stream in male new born is important to diagnose posterior urethral valves wherein urinary stream is poor, interrupted with dribbling and straining while passing urine.



Contributor Information and Disclosures Kumud P Mehta
Consultant Pediatrician & Pediatric Nephrologist, Jaslok Hospital & Research Centre, Bai Jerbai Wadia Hospital for children, Mumbai, India.


First Created : 1/3/2001
References
Disclaimer: The information given by www.pediatriconcall.com is provided by medical and paramedical & Health providers voluntarily for display & is meant only for informational purpose. The site does not guarantee the accuracy or authenticity of the information. Use of any information is solely at the user's own risk. The appearance of advertisement or product information in the various section in the website does not constitute an endorsement or approval by Pediatric Oncall of the quality or value of the said product or of claims made by its manufacturer.
Creative Commons License This work is licensed under a Creative Commons Attribution-NonCommercial-NoDerivatives 4.0 International License.