Obstructive Uropathy

Kumud P Mehta
Obstructive Uropathy - 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.

Obstructive Uropathy Obstructive Uropathy 01/03/2001
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