A large left renal calculus in the renal pelvis. Significant obstruction looking to the severe hydronephrosis. see more: (Source: cochinblogs)
Source: cochinblogs - August 21, 2020 Category: Radiology Source Type: blogs

Prepubertal Dysuria Not as Simple as a UTI
​Prepubertal boys who present to the emergency department with dysuria are uncommon. The adult with burning on urination is assumed to have a sexually transmitted disease, but of course that diagnosis should not be high on your list for boys.In fact, infectious urethritis in children is quite uncommon unless there is premature sexual activity or sexual abuse by an adult. Unfortunately, a variety of noninfectious urethral pathologies may mimic infectious urethritis in children. A urinary tract infection in a prepubertal boy is an infectious cause of dysuria. Those infections, however, rarely present with the isolated symp...
Source: M2E Too! Mellick's Multimedia EduBlog - September 3, 2019 Category: Emergency Medicine Tags: Blog Posts Source Type: blogs

LITFL Review 333
LITFL • Life in the Fast Lane Medical Blog LITFL • Life in the Fast Lane Medical Blog - Emergency medicine and critical care medical education blog Welcome to the 333rd LITFL Review! Your regular and reliable source for the highest highlights, sneakiest sneak peeks and loudest shout-outs from the webbed world of emergency medicine and critical care. Each week the LITFL team casts the spotlight on the blogosphere’s best and brightest and deliver a bite-sized chunk of FOAM. Readers can subscribe to LITFL review RSS or LITFL review EMAIL subscription The Most Fair Dinkum Ripper Beauts of the Week This is an abso...
Source: Life in the Fast Lane - May 27, 2018 Category: Emergency Medicine Authors: Marjorie Lazoff, MD Tags: LITFL review LITFL R/V Source Type: blogs

Medmastery: Hydronephrosis
LITFL • Life in the Fast Lane Medical Blog LITFL • Life in the Fast Lane Medical Blog - Emergency medicine and critical care medical education blog The team at Medmastery are providing LITFL readers with a series of FOAMed courses from across their website. Exploring the Point of Care Ultrasound Essentials course with a video demonstrating the renal and bladder ultrasound examination to identify hydronephrosis. Further reading: LITFL Medmastery Courses Medmastery on Facebook and Twitter Guest post: Viveta Lobo, MD (@vivetalobo). Attending Emergency Medicine Physician and Associate Director, Emergency Ultrasound...
Source: Life in the Fast Lane - April 18, 2018 Category: Emergency Medicine Authors: Mike Cadogan Tags: Medmastery EFAST hydronephrosis POCUS Renal ultrasound Source Type: blogs

Bladder exstrophy – CT
DISCUSSION BY DR MGK MURTHY& DR GA PRASADBladder exstrophy is a rare congenital birth defect  occurring about 3 in 100, 000 births with males to female ratio of 3:1& includes malformation of the bladder and urethra in which the bladder is turned inside out, flattened and exposed to  outside the body& bladder neck fails to form.The condition is caused by incomplete development of the infra- umbilical part of the anterior abdominal wall, associated with incomplete development of the anterior wall of the bladder owing to delayed rupture of the cloacal membrane. Persistence of the cloacal membrane pr...
Source: Sumer's Radiology Site - November 20, 2017 Category: Radiology Authors: Sumer Sethi Source Type: blogs

10 rules to keep physicians on time
The key to staying on time in a busy clinic and to finish the day unscathed is to be in battle mode from the get go. The ten rules outlined below will help you to achieve that goal. 1. Make sure your bladder is empty, and that you are well hydrated. This goes without saying. You don’t want to finish the day with hydronephrosis or a kidney stone. This would lead to sick days and bite into your productivity pie. 2. You may be loaded with caffeine, your compassion tank may be full, and you may feel motivated in the early hours of the day when you are still fresh, but don’t fall into the trap of socializing with your patie...
Source: Kevin, M.D. - Medical Weblog - November 8, 2017 Category: General Medicine Authors: < a href="" rel="tag" > DrizzleMD < /a > Tags: Physician Practice Management Primary Care Source Type: blogs

Two MODYs walk into a bar...
Recently I had my follow up with the geneticist/Endocrinologist of last August's appointment. I absolutely adore her, because I have her personal email and every question I have is a promptly answered. Learning to live with MODY hasn't been all roses and sunshine, as I've developed a swelling of my left kidney (called hydronephrosis) which I've had an ultrasound and abdominal CT for and am scheduled for a renal perfusion scan in two weeks. It hasn't affected the overall function of said kidneys but it's there,like an albatross, needing attention. There are no kidney stones (#1 cause) and the geneticist feels like it's MODY...
Source: The D-Log Cabin - June 29, 2016 Category: Endocrinology Authors: HVS Source Type: blogs

Looking for a wall motion abnormality can lead you astray
A Middle-aged male presented with chest pain of 3 hours duration. He has a history of hyperlipidemia only.  There is pressure to mid-chest, radiating to the right arm, associated with diaphoresis.   He never had this before.  It was not related to eating.  There was no cough or fever, nor trauma.  There was no recent surgery, and no h/o thromboembolism. Exam and BP were normal.Here is the first ECG:  0526There is ST elevation in V1-V4, with concave ST segments.  Is it ischemic, or is it early repol?It does not meet STEMI "criteria," but we know they are insensitiveFirst, look for any reci...
Source: Dr. Smith's ECG Blog - January 29, 2016 Category: Cardiology Authors: Steve Smith Source Type: blogs

Demonstrating an Integrated and Functional Kidney Organoid
Researchers have recently demonstrated in pigs the integration of an engineered kidney organoid, a few centimeters of kidney tissue grown from stem cells. The tissue functions as a kidney should, but it is far from full size, and does not bear all of the hallmarks of the real thing. However, enough of the normal suite of additional connections were also produced by the researchers involved to allow surgical integration of the organoid with the excretory system, and thus demonstrate generation of urine. This work well illustrates the nature of the challenges that lie ahead for the field of tissue engineering. It isn't enou...
Source: Fight Aging! - September 22, 2015 Category: Research Authors: Reason Tags: Medicine, Biotech, Research Source Type: blogs

Case of hematuria- left ureteric calculus
Left ureteric/ ureteral calculus as a possible cause of hematuria in this patient:Left hydronephrosis and left hydroureterFor more such cases of ureteral stones see: (Source: cochinblogs)
Source: cochinblogs - March 27, 2015 Category: Radiology Source Type: blogs

Touching all the bases
Internal medicine requires knowledge, deduction, and many skills – history taking, physical examination, analyzing diagnosis tests. When confronting a new patient problem, we use our brains to work on finding a diagnosis. Much like police detectives, we would like to have brilliant diagnostic epiphanies, but often we make our diagnoses by painstakingly collecting all the clues and doing the necessary boots on the ground work. We had a woman admitted to our service with confusion, decreased appetite and weight loss. In the ED, they diagnosed CKD Stage V – creatinine > 5 and BUN > 90. She had a 10 year history...
Source: DB's Medical Rants - August 8, 2014 Category: Internal Medicine Authors: rcentor Tags: Medical Rants Source Type: blogs

Retrocaval Ureter-Teaching Video
Retrocaval ureter is a rare cause of hydronephrosis. Its rarity and non-specific presentation pose a challenge to surgeons and radiologists in making the correct diagnosis.From Sumer's Radiology Site -The Top Radiology Magazine. Teleradiology Providers at Mail us at (Source: Sumer's Radiology Site)
Source: Sumer's Radiology Site - July 31, 2014 Category: Radiologists Authors: Sumer Sethi Source Type: blogs

A large ureteric calculus
This large right upper ureteric calculus presented little difficulty in being imaged. Measuring 15 mm in size, I managed to get an adequate window to capture these images. The right kidney, predictably, shows moderate hydronephrosis also. (Source: cochinblogs)
Source: cochinblogs - May 22, 2014 Category: Radiology Source Type: blogs