Post-obstructive uropathy with acute kidney injury and bilateral severe hydronephrosis secondary to bladder outlet urinary obstruction.
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Internal Medicine
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Post-obstructive uropathy with acute kidney injury and bilateral severe hydronephrosis secondary to bladder outlet urinary obstruction.
The most important approach should be done,
1. Do urgent electrolytes and urea creatinine to rule out hyperkalemia or electrolytes imbalance and renal function status after details history and clinical examination.
2. Do 12 lead ECG and Echo to see cardiac function status.
3. Consult urologist for possible relief of obstruction either insertion of small IFC or supra pubic approach through small incision.
4. Urgent nephrology consultation for possible HD if indicated.
5. Under lying cause should be identified as soon as possible and address accordingly.