Genitourinary Disorders

does anyone have experience on bumetanide in anuric neonatal AKI, non responding to furosemide ? is there any gain/side effect compared to furosemide ? thank you in advance for your comments

When to Worry? APD ≥4 mm in 2nd trimester and ≥7 mm in 3rd trimester. ANH with oligohydramnios ANH with extra-renal anomalies and soft markers ANH with any calyceal dilatation, renal parenchymal changes, bladder wall abnormalities. When to do a post-natal scan? USG KUB after adequate hydration, 3-7 days. MCU after 4-6 weeks USG KUB and MCU within 48 hours, if lower urinary tract obstruction. When to treat? Severe hydronephrosis- APD > 10mm - peripheral calyceal dilatation, renal parenchymal changes, bladder wall abnormalities, ureter abnormalities. PUV or lower urinary tract obstruction - Surgical …

I have seen in few hospitals in all cases of severe oligohydramnios babies are subjected to kidney function test and or renal ultrasound in order to not miss conditions like bilateral renal agenesis, renal dysplasia etc. Do you think this practice is justified ?

Dear doctors ...may i ask for your help in 1st❓ how to calculate creatinine clearance in neonates with simple equation ? 2nd❓ any data about antibiotics dosage in renal impairement Thanks in advance ☺️

Hello all. We have a full term baby who presented with mass per abdomen at birth. On usg it showed distended gall bladder and nothing else. Baby also has recurrent hypoglycaemia. Does anyone know about distended gall bladder in neonates I saw few articles which tell that distended gall bladder is associated with birth asphyxia, but this baby did not have one No acholic stools and no jaundice

Hello, I need your help in a case of Congenital Nephrotic Syndrome. The baby, female, is 2 months. We are waiting for genetic diagnosis, but we suspect a finnish form. We are administrating a very high dose of albumin (2-3 g/kg/die divided in three doses) by a Broviac CVC. We are administrating also Tiroxine, Furosemide, a low dose of captopril (0,015 mg/kg three times per day) and indomethacin (0,4 mg/kg twice per day). We didn't obtain an improvement about proteinuria with these two drugs. We are feeding her with fortified human milk We would offer a better quality of life to the baby and her parents, so I was thinking to try to infuse a load dose of albumin nightly …

Hello, My friend working in the government general hospital has passed this photo to be presented to the 99 nicu members for their diagnosis. Your help is appreciated and valuable. The baby has been lost to follow up because the parents didn't come for review.

We had two cases of congenital nephrotic syndrome with poor outcome. Just wanted to know how has your experience been with this disease? How aggressive are you in the management?