Download Urological Emergencies In Clinical Practice by Hashim Hashim M.D., FEBU, FRCS (Urol) (auth.), Hashim PDF

By Hashim Hashim M.D., FEBU, FRCS (Urol) (auth.), Hashim Hashim, John Reynard, Nigel C. Cowan, Dan Wood, Noel Armenakas (eds.)

Urological Emergencies in scientific perform, moment Edition, is a well-researched notebook that gives a accomplished precis of urological emergencies and their administration, in a kind that's concise, appropriate to the objective viewers and on hand. whereas the outline of every emergency situation is finished, the emphasis is at the functional method of the stipulations that are prone to be encountered.

Since the 1st variation, there were new instructions released via the ecu organization of Urology that are integrated within the re-creation of this booklet. additionally this version encompasses a bankruptcy on pediatric urological emergencies.

For the health care professional or nurse anticipated to supply the preliminary review and administration of a situation with which she or he has had very restricted event, Urological Emergencies in scientific perform, moment Edition will offer a useful resource of data and recommendation.

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Chapter 3. Nontraumatic Renal Emergencies 47 Infected Hydronephrosis and Pyonephrosis Infected hydronephrosis is bacterial infection in a hydronephrotic kidney. Pyonephrosis is an infected hydronephrosis with destruction of renal parenchyma and pus formation, the infection being severe enough to cause accumulation of pus within the renal pelvis and calyces of the kidney and if allowed to run its course, leading to complete loss of renal function. Clinically it is difficult to distinguish the two.

Where there is an associated fever, one should have a low threshold for draining the kidney, and this is usually done by percutaneous nephrostomy. 3. Where renal function is impaired because of the stone (solitary kidney obstructed by a stone, bilateral ureteric stones, or preexisting renal impairment that gets worse as a consequence of a ureteric stone), the threshold for intervention is lower. 4. Obstruction unrelieved for >4 weeks can result in longterm loss of renal function. In a study of 239 patients presenting with unilateral ureteric stones, after 2 weeks the stones were still present in 143 patients (Holm-Nielsen et al.

Dipstick testing is slightly more sensitive than urine microscopy for detecting stones (80 % vs. 70 %), and both ways of detecting hematuria have roughly the same specificity for diagnosing ureteric stones (about 60 %). The slightly greater sensitivity of dipstick testing over microscopy reflects the fact that seeing red blood cells depends on how good the technician is at looking for them and that they lyse and therefore disappear, if the urine specimen is not examined under the microscope within a few hours.

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