28. CONGENITAL ANOLMALIES OF THE EXCRETORY SYSTEM. PYELONEPHRITIS

Question 1

VUR diagnosis:

Answer 1

Voiding cystourethrography

Question 2

Pyelonephritis diagnosis:

Answer 2

DMSA scintigraphy

Question 3

Most affected kidney in unilateral renal agenesis:

Answer 3

The left kidney is more often affected by the anomaly.

Question 4

International system of radiographic grading of vesicoureteric reflux:

Answer 4

Grade | - Contrast material fills the lower 1/3 of the nondilated ureter
Grade II - Contrast material fills the entire nondilated ureter and renal pelvis
Grade Ill – Mild dilatation of the ureter and renal pelvis with minimal blunting
Grade IV - Moderate tortuosity of the ureter and dilatation of the renal pelvis and calyces
Grade V - Gross dilatation of the renal pelvis and calyces with significant ureteral tortuosity