(Microsoft PowerPoint - Obstructive Uropathy \315.\307\322\267\324 ...

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Citrate • Acid-base Acid base state is the primary determinant of urinary citrate excretion • Metabolic acidosis reduces urinary citrate levels secondary to enhanced renal tubular reabsorption and decreased synthesis of citrate in peritubular cells
Renal Tubular Acidosis • RTA is a clinical syndrome characterized by metabolic acidosis resulting from defects in renal tubular hydrogen ion secretion and urinary acidification
Page 1 and 2: Obstructive Uropathy Watid Karnjana
Page 3 and 4: Obstructive nephropathy • Functio
Page 5 and 6: Pathologic changes of obstruction
Page 7 and 8: Post-obstructive Post obstructive D
Page 9 and 10: Causes of obstructive uropathy Func
Page 11 and 12: Epidemiology • The lifetime preva
Page 13 and 14: Gender • Stone disease typically
Page 15 and 16: Geography • Higher prevalence of
Page 17: Pathogenesis
Page 20 and 21: Classification
Page 22 and 23: 1.Hypercalciuria • Absorptive Hyp
Page 24 and 25: Renal Hypercalciuria Functional tub
Page 26 and 27: 2.Hyperoxaluria • Primary hyperox
Page 28 and 29: Enteric Hyperoxaluria • Most comm
Page 30 and 31: 3.Hyperuricosuria • Hyperuricosur
Page 34 and 35: RTA • There are three types of RT
Page 36 and 37: Uric acid Stone • All mammals, ex
Page 38 and 39: Uric acid Stone • The three main
Page 40 and 41: Cystine Stone • Cystine stones ar
Page 42 and 43: Infection Stone • The most common
Page 44 and 45: Miscellaneous Stones • Xanthine a
Page 46 and 47: Approach to the patients
Page 48 and 49: Indications for a Metabolic Stone E
Page 50 and 51: Dietary Modification • High fluid
Page 52 and 53: Acute flank pain • History - Fami
Page 54 and 55: Acute flank pain • Lab investigat
Page 56 and 57: Surgical Management of Urolithasis
Page 58 and 59: Renal calculi Optional treatment :
Page 60 and 61: ESWL • Poor result factors 1.Larg
Page 62 and 63: Staghorn calculi • Pelvic stone +
Page 64 and 65: Surgical management 1. Open stone s
Page 66 and 67: 1 cm ESWL Renal stone 1-2 cm Lower
Page 68 and 69: Proximal ureteric stone • Stone <
Page 70 and 71: Distal ureteric stone • Not be us
Page 72: Ureteric stone • Laparoscopic ure
Page 75: Result
Page 78 and 79: Bladder calculi • 5% of all urina
Page 80 and 81: Treatment • Cystolitholapaxy - Co
Page 83:
Knowledge • Smith's General Urolo
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