Doctor insights on:
Antenatal Hydronephrosis Guidelines
Hi, fetal ascites dx at 14w, fetal anomaly scan at 15w NAD, TORCH /Amnio NAD, what is the likelihood of a happy/healthy baby please?
Pregnancy 15 week, ultrasound report.,.. Turner syndrome with cystic hygroma and hydrops fetalis....., your advise required?
Your decision: in the end. These findings in the first trimester usually carry a poor outlook for survival of the baby but there have been many reports of resolution of both cystic hygroma and hydrops as pregnancy progresses. Turner syndrome will always be there. I cannot decide for you but suggest you consider re-evaluating by ultrasound in 3-4 weeks should you decide to continue the pregnancy, you will then know more about the prognosis for the baby and any associated problems such as congenital heart defect etc. see:http://www.turnersyndrome.org/#!child/c4ff ...Read more
R-kidney 8.2 cms, l-k 9.0 cms, 7mm calculus at lower polar of r-k, moderate hydronephrosis and parenchymal scars l+r kidneys, ureters dilated .Serious?
Serious...yes: The hydronephrosis part is what makes this serious. The stone is basically plugging the urine outlet and the kidney is suffering. You need to see a urologist and have lithotripsy to break up the stone. At 7 mm it is unlikely to pass on its own. Otherwise you may loose function in that kidney and since you already have some scarring, your kidney function reserve is dwindling. ...Read more
Age2- Renal US: kidney without interval growth. Hx: duplex kidney, pylonephritis, ureteral stump infection- sx corrected
Urological problems: Anatomical malformations of the kidneys and urinary tract are common causes of infections. When the kidneys themselves get infected, it's called pyelonephritis, a dangerous and urgent problem which needs antibiotics and close follow up. Your child needs to see a urologist. ...Read more
My ultrasound report says that Live fetus of 34W 1D Gestational size,With Doppler indices(Small for Gestational Age);LMP GSA is 36W 5D,ur recomendatio?
Doctor visit: You will need to review the sonogram with the doctor treating your pregnancy. They can evaluate your gestational dating criteria. Previous sonograms can be used as points of comparison. They can also calculate the estimated fetal weight to confirm that growth restriction is not occurring. Any further testing can be ordered if needed ...Read more
Any recommendations for long term follow up for elderly woman hospitalized for UTI ? ?Low dose maintenance antibiotics ?Monthly testing?
Prevention measures: Daily cranberry juice or pill will help to prevent uti. However, if there is multiple uti, then there may be a kidney stone, tumor, incontinence, dryness of vaginia, bladder dysfunction or urethrea problem. Urology consultation is therefore recommended to prevent from having long term UTI problems. ...Read more
3 y/o had VUR w/ scarring. Now VUR clear & kidneys measure 6.4cm. Refered to Nephrology. Can't get appt for couple months. What possible issues?
This is just: "a thought" since the answer should come from your child's Pediatrician but I would guess the kidneys are a bit "small" for your baby's age and follow-up after the VUR with nephrology is a common..and nowadays "STANDARD OF CARE" No "emergency" (my opinion) Hope this helps and good luck! Dr Z ...Read more
Both foetal kidneys show mild dilation of pelvis measuring 4-5 mm showed up in 26 week fetus ultrasound
Should i be worried?
Fetal Kidneys: Would not be worried with mild dilation of fetal kidneys. This is not an uncommon findings, and usually is not significant. However, your doctor may repeat the ultrasound just to be sure. As long as your growth is fine and amniotic fluid is normal, it's not likely anything to be worried about. ...Read more
Scan report of right kidney hydro-uretero-nephrosis due to vuj stricture. And advice the treament and seriousness age 34 years?
18 week fetal US indicated enlarged bladder. Kidneys measured normal. Amniotic fluid normal. Any advice?
Full bladder US?: If the ultrasound was done with a full bladder as is usually done, then the pregnancy will distort and displace the bladder at 18 weeks, so it is difficult to say that the "bladder was enlarged". Since the amniotic fluid content is OK. as well as the fetus then "no worries" at this juncture. ...Read moreSee 1 more doctor answer
Palliative care question: good reference guideline for end-stage COPD clinical/functional markers for poor response to CPR, and should recommend DNR?
COPD and DNR: I recommend going to uptodate and review what their recommendations are. This is the best source of good medical information I have found. When you read the sections on these issues you can also click on the reference to see the cited reference. ...Read more
My ob scheduled me for weekly fetal monitoring. I am 31weeks pregnant & at risk of preeclampsia due to proteinurua. What does fetal monitoring consist of?
Observing the baby.: Typically this means that you will have an nst. This is when we put monitors on your belly to hear the baby's heart beat and also to follow for contractions. This is done for at least 20 minutes. We are watching the baby's heart beat to show us that your baby is "happy.". ...Read more
50 y/o F, dypsnea,tired,sweating.chron pain right side/spinal fusion ERvisit only abn.was CO2 levs.arterial=33 andvenous Co2=55 init diagnosis pneu, xray ok?
What are labouring woman's legal rights to refuse treatment she isn't convinced of? Do maternal rights trump fetal rights? Can doctor force treatment?
Total control: Women in labor might not be in the best physical/mental condition to make intelligent choices. But legally they have the final say in what could be done after their doctor explains the possible choices. This would include the risks of making the wrong choice. ...Read moreSee 1 more doctor answer
Recent CT scan: non-obstr kidney stone, diverticulitis, thickening of bladder. Have to wait 2wks for followup, despite blood in urine/pain. Is ths ok?
IF this is: Diverticulitis with secondary inflammation of your bladder or possible fistula to your bladder from the diverticulitis, you need to be on 2 weeks of antibiotics and a no fiber diet and you need follow up with a colorectal surgeon 2 weeks into the process. The diet above is critical if this has a chance to resolve without surgery. ...Read moreSee 1 more doctor answer
25wk fetal boy; us shows eif, and both dilated kidneys 5.2mm/5.8mm pyelectasis, normal quad screen testing, should I be worried? Is this serious?
On the fence. If : There were > 2 markers, especially if they included nuchal thickening ; hyperechoic bowel , your OB would have offered a genetic amniocentesis to rule out aneuploidy, an abnormal # of fetal chromosomes. Ask to see a fetal-maternal medicine specialist who can review fetal growth ; markers, do a super-high-tech fus ; maybe a fetal echocardiogram. Then make an informed decision about amnio. ...Read more
My child had been diagnosed to have antenatal hydronephrosis. The baby is one month old now and the swelling is still there. What can be done to make?
Probably temporize: Mostly prenatally diagnosed hydronephosis will persist > 1 month. Management depends upon degree of h. Most cases of mild to moderate h will resolve spontaneously & some will persist to certain degree without any problem. Severe h warrants diuretic mag3 nuclear scan to quantitate relative function of each kidney & degree of obstruction. Cystogram if bilateral h. Surgical correction ?Controversial. ...Read moreSee 1 more doctor answer
Stone obstruction: Which causes mild hydronephrosis can cause pain. U might have flank or abdominal pain following high fluid consuption from intrinsic obstruction due to stretching of kidney pelvis. Pain would lessen or go away with time ; only mild hydronephrosis would be seen on us. Repeat us after fluid load or during pain episode might give more information. Pain may well be due to other causes. ...Read more
Hydronephrosis: Refers to fluid inside the kidney. This fluid is urine which is able to remain in the kidney because of a larger size of the renal pelvis. The renal pelvis is the part of the kidney where the urine collects prior to descending into the bladder. The size of the pelvis should not exceed 7 mm on ultrasound. Small increases have no clinical significance and may represent variants of normal. ...Read moreSee 1 more doctor answer
Usually intervention: Hyrdonephrosis is an anatomic diagnosis, usually caused by obstruction, less common by reflux of urine from bladder & occasionally by infection. Thus intervention, to relieve blockage, usually required to correct cause, unless mild. Obstruction from narrow or kinked kidney outflow needs pyeloplasty surgery, stones passed or removed + meds if metabolic cause, tumor removed, antibiotics 4 infection. ...Read moreSee 1 more doctor answer
It depends...: Hydronephrosis, typically diagnosed by a ct scan or an ultrasound, is distension of the portion of the kidney that collects the urine. There are many causes, but the most common in adults is obstruction to the flow of urine. Left untreated, this can lead to permanent kidney damage. You should see your urologist for further information. ...Read moreSee 1 more doctor answer
Obstructed urine flo: Hydronephrosis is kidney damage due to blockage of ureters preventing urine from flowing properly. Specifically, it refers to enlargement of kidney from pressure. Check out http://www.Medicinenet.Com/hydronephrosis/article.Htm. Solution is to fix cause of obstruction. ...Read moreSee 2 more doctor answers
Kidney swelling: Due to abnormal amount of urine retained by kidney due to swelling of internal renal collecting system consisting of cayces & renal pelvis. Urinary collecting ducts drain into calyces which dreain into pelvis (like a funnel) draining into ureter. Causes mostly blockage, congenital or acquired from stone, fibrous tissue, growth or external pressure of pelvis or lower down, or from bladder reflux. ...Read moreSee 1 more doctor answer
Trapped urine.: Severe fetal hydronephrosis is diagnosed when urine is trapped inside the renal collecting system of a fetus with resultant destruction of kidney tissue. It can be due to stenosis or obstruction at various points in the urinary tract and merits postnatal antibiotic uroprophylaxis and imaging. Bilateral severe cases may cause oligohydramnios and fetal lung hypoplasia or demise. Seek mfm care asap! ...Read moreSee 1 more doctor answer
Cystadenomas : Ovarian cystadenomas are usually very large cystic tumors arising from the ovaries. As a result of their size and origin, they can cause direct compression on the nearby ureter. The compression leads to dilation of the ureter and is called hydroureter / hydronephrosis. www.peedoc.com @drhtay. ...Read more
Not to worry: Your baby will have an ultrasound after birth to see if it is still there.This is a finding I read a lot on prenatal ultrasound reports. So far none in my experience have had it after birth even though they were all thought to have it prenatally. It means the kidney on the affected side has developed an appearance suggestive of back up fluid and pressure on it as if something is blocking the flow of urine from the kidney to the bladder. ...Read more