bilateral hydronephrosis qbank q

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suckerfree

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infant presents w/ bilateral hydronephrosis and ureters dilated from about 3 cm above insertion into the bladder until the renal pelvis.

dx = ureteropelvic junction obstruction.

other choices were stones, metastatic CA, benign tumor, blah blah blah

WTF?

Why the dilation of the ureters extending from 3 cm above their insertion into the bladder? Ureteropelvic junction is in the kidney proper, so obstructions could certainly give hydronephrosis, but to have the dilation/backup being right above the bladder and the answer is ureteropelvic junction = what the f*(&!

please explain.

peace!

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suckerfree said:
infant presents w/ bilateral hydronephrosis and ureters dilated from about 3 cm above insertion into the bladder until the renal pelvis.

dx = ureteropelvic junction obstruction.

other choices were stones, metastatic CA, benign tumor, blah blah blah

WTF?

Why the dilation of the ureters extending from 3 cm above their insertion into the bladder? Ureteropelvic junction is in the kidney proper, so obstructions could certainly give hydronephrosis, but to have the dilation/backup being right above the bladder and the answer is ureteropelvic junction = what the f*(&!

please explain.

peace!
I definitely remember getting this question and thinking the same thing...WTF???
 
WTF?

Could it be that Qbank has mistakes in it?
 
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