The cause of
Renal papillary necrosis is encountered most often in analgetičkoj nephropathy, diabetes, urinary tract obstruction, severe pyelonephritis and sickle cell anemia.
The clinical picture
Once the renal papillary necrosis asymptomatic and discovered incidentally at pyelography. When symptoms occur, the clinical picture is manifested mutual infection with oliguria (reduced urination).This form has an unfavorable outcome. In addition, renal papillary necrosis may manifest with signs of urinary obstruction caused detachment papilloma.
Diagnosis
Required for diagnosis are: history taking and clinical assessment, clinical status, laboratory tests, abdominal ultrasound, radiography of the urinary tract, kidney CT, intravenous urography, renal biopsy.
Treatment
Treatment involves removing the cause - the treatment of disease, antibiotic, and large amounts of fluids.
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