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.
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