Urinarysystem泌尿系统概述.pptVIP

Urinary system You should have an understanding of : The management of urinary tract infections The investigation of a child with proteinuria The investigation of a child with haematuria The basic symptoms and signs suggestive of renal failure, and have a working overview of its management. World Kidney Day March 9th 2006 was the first WKD and then the second Thursday on march will be anniversary for kidney diseases. About 10% population involved Chronic Kidney disease (CKD) in USA About 100 million CKD in china ? of the total medical cost Introduction :background Effective management of the patient with renal disease is dependent upon establishing an accurate diagnosis. The clinician must be aware of the possible presentations of renal diseases and gather these symptoms and signs which form recognized diseases and syndrome What is the possible presentations suggesting renal problem ? Clinical presentation of renal disease The patient is asymptomatic, but an abnormality has been detected on clinical or laboratory examination which indicates an underlying renal disorder. The patient complains of a symptom or has a physical sign which directly or indirectly indicates underlying renal diseases The patient has a systemic disease which is known to be associated with renal involvement The patient has a family history of an inherited renal disorder. Symptoms of urinary tract disease A fever; dysuria; frequency; loin pain/abdominal pain; urinary inconsistency;offensive smelling;cloudy urine; Proteinuria : frothy urine Haematuria: Smokey urine Signs of urinary tract disease Dysmorphic syndromes; Anemia; Oedema; High blood pressure; Renal masses; Distended bladder. Congenital abnormalities Renal agenesis : Potter facies : Maldevelopment : ectopic kidneys; horseshoe kidneys; renal hypoplasia; dysphasia Polycystic kidney disease: ADPKD; ARPKD Hydronephrosis and hydroureters Vesiocoureteric reflux: Pres