genitourinary system cases
Post on 16-Jul-2015
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Neurogenic bladder• dysfunctional urinary bladder that results from an injury to
the central or peripheral nerves that control and regulate urination.
D/Ds• BOO• PUV
Caudal regression syndrome• spectrum of structural defects of the caudal region.
Malformations vary from isolated partial agenesis of the coccyx to lumbosacral agenesis.
Posterior urethral valves• Posterior urethral valves (PUV's) are the most common congenital obstructive lesion of the urethra and a common cause of obstructive uropathy in infancy.
Hutch diverticulum• A Hutch diverticulum is a congenital bladder diverticulum, seen at vesicoureteric junction.
Sacro-coccygeal teratoma • It refers to a teratoma arising in the sacro-coccygeal region. The coccyx is almost always involved.
• There are most often mixed solid/cystic
Xanthogranulomatous Pyelonephritis• chronic inflammatory disease almost always associated with
long-term obstruction– Most often associated with Proteus or E. Coli infection
• Produces either diffuse (80-90%), or sometimes focal (10-20%), destruction of the kidney
• Almost always unilateral• Four times more common in women than men, usually 45-65
years of age
Emphysematous pyelonephritis• It is a morbid infection of kidneys, with characteristic gas
formation within or around the kidneys
Bosniak 2 RENAL CYST
• minimally complex, a few thin (<1 mm) septa, thin calcifications; non-enhancing high-attenuation (due to to proteinaceous or haemorrhagic fluid) renal lesions of less than 3 cm are also included in this category; these lesions are generally well marginated
• work-up: nil• percentage malignant: ~0%
CT Classification of Renal Trauma
• Grade I• Superficial cortical laceration, contusion and/or perirenal
hematoma• Grade II• Deep corticomedullary laceration involving the collecting
system• Grade III• Renal crush injury and/or main vascular pedicle injury• Grade IV• Injury of the renal pelvis or the ureteropelvic junction
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