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Pathophysiology of Urinary Tract Obstruction
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== Answers == # What are the phases of a renal scan? Which is the most sensitive indicator of renal dysfunction? ## Flow (initial), renal, excretion ## Renal # Which nuclear scan is preferred to assess renal scarring? Obstruction? GFR? # What T1/2 on a nuclear scan is considered non-obstructed vs. obstructed? # What are reasons for a false-positive renal scan? # What are limitations of a low-dose CT scan? # What are the phases of a renal scan? # Describe the changes that occur in renal blood flow, ureteral pressure, and GFR in unilateral and bilateral urinary obstruction # What are advantages of a nephrostomy tube of ureteral stent? ## Superior drainage, especially if the fluid is more purulent, due to larger caliber ## Tubes can be irrigated to prevent clogging ## Urine output of the kidney can be measured ## Excessive ureteral manipulation can be avoided, decreasing the risk for sepsis or rupture ## Can be done using US guidance with local anesthesia and conscious sedation, eliminating the need for an anesthesiologist and ionizing radiation exposure # What is the definition of post-obstructive diuresis? What mechanisms contribute to its occurrence?
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