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Vesicoureteral Reflux

Damasco LD - MedPix (2005)

View Article: MedPix Image - MedPix Case

Affiliation: Uniformed Services University

ABSTRACT

Diagnosis: Vesicoureteral Reflux

History: Previously healthy 4yo male with a recent history of decreased appetite and approximately 5lb weight loss x 2.5wks, intermittent vomiting and diarrhea x 2wks, and dysuria x 2d presents with fever to 104, mild tachycardia, and CVAT L>R. Initial lab work-up reveals increased WBC and the presence of urine nitrites and leukocyte esterase.

Findings: U/S: -R kidney: demonstrating normal echogenicity and measuring 9.5cm (upper limit of normal for patient age.) There is no evidence of hydronephrosis -L kidney: elongated measuring 11.5cm. There is evidence of mild hyperechogenecity of the renal cortex. VCUG: Grade II reflux on the right. Grade IV reflux on the left with mild tortuosity of the ureter. Additionally, there are compound calyces of the superior and inferior poles of the left collecting system. Normal urethra without evidence of posterior urethral valves (PUV).

Dxhow: VCUG

No MeSH data available.


R. kidney ultrasound: Longitudinal view of the R kidney shows a R kidney measuring 9.5cm without evidence of hydronephrosis.
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MPX1913_synpic27433: R. kidney ultrasound: Longitudinal view of the R kidney shows a R kidney measuring 9.5cm without evidence of hydronephrosis.


Vesicoureteral Reflux

Damasco LD - MedPix (2005)

R. kidney ultrasound: Longitudinal view of the R kidney shows a R kidney measuring 9.5cm without evidence of hydronephrosis.
© Copyright Policy - open-access
Related In: Results  -  Collection

License
Show All Figures
getmorefigures.php?uid=MPX1913&req=5

MPX1913_synpic27433: R. kidney ultrasound: Longitudinal view of the R kidney shows a R kidney measuring 9.5cm without evidence of hydronephrosis.

View Article: MedPix Image - MedPix Case

Affiliation: Uniformed Services University

ABSTRACT

Diagnosis: Vesicoureteral Reflux

History: Previously healthy 4yo male with a recent history of decreased appetite and approximately 5lb weight loss x 2.5wks, intermittent vomiting and diarrhea x 2wks, and dysuria x 2d presents with fever to 104, mild tachycardia, and CVAT L>R. Initial lab work-up reveals increased WBC and the presence of urine nitrites and leukocyte esterase.

Findings: U/S: -R kidney: demonstrating normal echogenicity and measuring 9.5cm (upper limit of normal for patient age.) There is no evidence of hydronephrosis -L kidney: elongated measuring 11.5cm. There is evidence of mild hyperechogenecity of the renal cortex. VCUG: Grade II reflux on the right. Grade IV reflux on the left with mild tortuosity of the ureter. Additionally, there are compound calyces of the superior and inferior poles of the left collecting system. Normal urethra without evidence of posterior urethral valves (PUV).

Dxhow: VCUG

No MeSH data available.