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Antenatal Hydronephrosis

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sidharth kumar sethi
sidharth kumar sethi
Salud y medicina
1 de 67
Antenataly detected hydronephrosis
Introduction ,[object Object],[object Object],[object Object]
Fetal Renal Sonography ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]
 
Renal Physiology ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]
Renal Physiology ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]
Amniotic fluid and indices ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]
Defining ANH ,[object Object],[object Object],[object Object],[object Object]
[object Object],e = APPD
AP Diameter ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]
 
90 th 10 th 50 th 2 nd 3 rd
[object Object],[object Object],[object Object]
Disadvantages and limitations: APD ,[object Object],[object Object],[object Object]
Epidemiology ,[object Object],[object Object],[object Object]
[object Object]
Etiology: Antenatal Hydronephrosis
Transient hydronephrosis ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]
Transient hydronephrosis
Posterior Urethral Valves Sonography Dilated ureter and renal pelvis and dilated bladder with a dilated posterior urethra
Posterior Urethral Valves Sonography
UPJ obstruction
Multicystic dysplastic kidney
Grading of ANH ,[object Object],[object Object],[object Object]
Estimate of distribution by severity ,[object Object]
Grading of Hydronephrosis ,[object Object],[object Object],[object Object],[object Object]
[object Object]
Other sonographic parameters ,[object Object],[object Object],[object Object],[object Object],[object Object]
Post Natal Pathology likely ,[object Object],[object Object],[object Object],[object Object],[object Object]
[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]
Predictive value of APD-defined ANH for pathology ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]
[object Object]
Natural history of ANH ,[object Object],[object Object],[object Object],[object Object],[object Object]
Timing of diagnosis and prognostic value ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]
Natural History of ANH ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]
Recommendation for prenatal evaluation of ANH ,[object Object]
Suspected Bladder Outflow Obstruction ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]
Predictor of renal function in fetus ,[object Object],[object Object]
 
Prenatal Interventions
Imaging modality used in ANH ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]
Doppler Ultrasonography ,[object Object],[object Object],[object Object]
Postnatal radiological evaluation ,[object Object],[object Object],[object Object]
Principle of Management ,[object Object],[object Object],[object Object],Indicators for surgery
Modalities used for Postnatal evaluation ,[object Object]
Dynamic renal Scintigraphy ,[object Object],[object Object],[object Object],[object Object]
DYNAMIC RENAL SCINTIGRAPHY ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]
Who requires postnatal evaluation? ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]
Who requires postnatal evaluation? ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]
Who requires postnatal evaluation? ,[object Object],[object Object],[object Object],[object Object],[object Object]
The timing of postnatal evaluation ,[object Object],[object Object],[object Object],[object Object]
The timing of postnatal evaluation ,[object Object],[object Object]
[object Object],. Early evaluation is necessary in neonates with solitary kidney, bilateral hydronephrosis or suspected bladder outlet obstruction.
 
 
Suggested Algorithm Curr Opn Ped 2009;207-13
Role of VCUG ,[object Object],[object Object]
VUR as a cause of ANH ,[object Object],[object Object],[object Object],[object Object]
Follow-up evaluation ,[object Object],[object Object]
Late Worsening/ Recurrence ,[object Object],[object Object],[object Object],[object Object]
Follow Up ,[object Object],[object Object],[object Object],[object Object]
Role of antibiotic Prophylaxis ,[object Object],[object Object],[object Object],[object Object],[object Object]
Antibiotic Prophylaxis ,[object Object],[object Object],[object Object],[object Object]
Antibiotic Prophylaxis ,[object Object],[object Object],[object Object],[object Object],[object Object]
Surgical Intervention ,[object Object],[object Object],[object Object],[object Object],[object Object]
Indication for chromosomal evaluation . ,[object Object],[object Object],[object Object]
 

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Notas del editor

  1. The AFI is the score obtained by adding centimeters of depth of four pockets of fluid.
  2. How to explain the table