Urinary system. Department of Pediatrics Soochow University Affiliated Children’s Hospital. 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
Department of Pediatrics
Soochow University Affiliated Children’s Hospital
High blood pressure;
Escherichia coli (85%), Klebsiella spp, Proteus spp, Pseudomonas spp
streptococcus faecalis, Staphylococcus
Clean catch midstream
Clean void urine
. [99Tcm]DMSA scan showing the effect of reflux into a lower moiety of a duplex kidney on the left and a lower pole scar in the right kidney.
The indirect vesicoureteric reflex study shows positive reflux on the right side using [99Tcm]DTPA.
(b) right-sided reflux at the initiation of micturation;
(c) further reflux as the bladder empties; and
(d) rapid drainage partially to refill the bladder. .
1.First UTI prior to investigation;
4. Renal tract anomalies;
6.Compromised renal function
** require long-term monitoring of blood pressure, renal function, protein loss.
Tubular Tubular necrosis tubular acidosis
Interstitial nephritis cystinosis
Toxins(heavy metals) Wilson’s disease
Glomerular Nephrotic syndrome congenital NS
Thank you for your attention !!! reflux on the right side using [99Tcm]DTPA.