Lady with high fever and Dysuria

Saturday, December 26, 2009
This is an IVU of a 43 year old lady with Turner Syndrome coming to a hospital complaining of high fever and Dysuria  for 4 days.Comment on her IVU.Leave your comments here.







ANSWER

HORSESHOE KIDNEYS




Horseshoe kidneys is a congenital condition of the kidneys which produces a characteristic IVP picture where the upper poles are further from the midline than the lower poles.




The prevalence of horseshoe kidneys in females with Turner Syndrome is about 15%

AETIOLOGY

Fusion of developing Kidneyes at there lower poles & prevention of normal embryological ascent by the inferior mesenteric atery.

CLINICAL FEATURES

  • Nausea and Abdominal discomfort
  • Renal Stones
  • Urinary Tract Infections
  • This increase the risk of renal Cancers especially Wilm's tumour

TREATMENT

Pyeloplasty is the treatment for PUJ obstruction.








Stumble
Delicious
Technorati
Twitter
Facebook

5 comments

  1. Anonymous Says:
  2. sallmonella typhi!!
    i'm still in 3rd year mbbs..donno much

     
  3. xydau Says:
  4. Dont worry you'll learn these things later.I'll tell you the answer & the areas that youmust read regarding this.

     
  5. Anonymous Says:
  6. Horseshoe Kidney

     
  7. dr.ainulwara Says:
  8. agree with ismai,horse shoe kidney associated with turner's syndrome but as common as ureteropelvic abnormalities leading to hydronephrosis recurrent UTIs and CKD. in this pic hydronephrosis is evident which can be a part of both horse shoe or ureteropelvic anomalies

     
  9. Anonymous Says:
  10. Horseshoe kidney.(Congenital disorder)
    Complications: Infection, Calculi, Hydronephrosis amonsgt the commonest ones.

     

Post a Comment

GET UPDATES!!!!

Subscribe by E-mail & receive updates your inbox!
Enter your email address:

FAN PAGE

Followers

Recent PPTs

Medical Guidelines