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Pediatrics: UPJO & Megaureter
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== Answers == # List congenital renal malformations common seen with UPJO. Which is most common? ## Contralateral UPJO (most common anomalyv) ## Renal dysplasia ## Multicystic dysplastic kidneys ## Renal agenesis ## Horseshoe kidneys ## VUR ## Ectopic kidney ## Duplex kidney # What are indications for surgical intervention of UPJO? ## Symptoms ## Infections while on prophylactic antibiotics ## Increasing hydronephrosis ## Low or decreasing differential renal function # What is the natural history of antenatally detected megaureter? #* > 90% of antenatally detected megaureters will improve with conservative management within the first few years of life # What are indications for surgery of primary obstructive megaureter? ## Symptoms ## Infections ## Increasing hydronephrosis/hydroureter ## < 40% differential renal function ## ≥ 5% decrease in differential renal function of on sequential “comparable” nuclear functional studies
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