CASE STUDIES

CONGENITAL RENAL TRACT ABNORMALITIES

D. U/S Case

Q 1-5

The above U/S represents a form of obstructive uropathy

� 1. What is level of obstruction

� 2. Name two other sites of obstruction involving the renal tract

� 3. Which of the above three types of obstruction holds the best prognosis

� 4. How might this condition present? Suggest 3 ways

� 5. What two important considerations in this condition determine management

E. Radiological Study

� This is a study of a 3 day old boy baby who presented with bilateral renal masses and respiratory distress

Q 1-4

� 1. What radiological study is this

� 2. What condition does it represent

� 3. What is the immediate management in a neonate

� 4. What NB symptom should specifically be asked

about if considering the diagnosis.

G. U/S Study

� The following is a renal ultrasound of a newborn baby with a palpable abdominal mass.

Q 1-5

� 1). Describe what you see

� 2). What is this condition called.

� 3). What do you expect the renal fx of this kidney to be and how would you confirm that

� 4). Name two potential, but rare complications

� 5) What is the natural progression

O. Illustrative Case

The picture below represents a syndrome

� 1. Name the syndrome

� 2. What makes up the triad

� 3. Describe what the ureters may look like

� 4. What determines the prognosis in the neonatal age.