Signs and symptoms of developmental abnormalities of the genitourinary tract.

摘要: Objective: The abnormalities of the genitourinary tract development are leading cause chronic kidney disease (CKD) in children. diagnosis this Brazil is late and incomplete, which results increased morbidity mortality age group. Early condition prerogative generalist pediatricians, aim study was to review clinical signs symptoms associated with developmental tract. Data sources: Based on description a symbolic case, authors conducted non-systematic medical literature. synthesis: suggest that following data should be used as warning for early affected children: (a) combined urinary (chromosomal abnormalities; sequence malformations [VACTERLand Prune-Belly]; musculoskeletal, digestive tract, heart, nervous system malformations); (b) previous history (congenital anomalies [CAKUT] family, low birth weight, oligoamnios); (c) (polyuria/nocturia, infection, systemic arterial hypertension, failure thrive, weak stream, difficulty start urination, distended bladder, non-monosymptomatic enuresis, urinary/urge incontinence, bowel bladder dysfunction); (d) pre- postnatal ultrasonographic alterations (increased anteroposterior diameter renal pelvis, mainly third trimester pregnancy; single kidney; hydronephrosis other parenchymal involvement post-neonatal assessment). Conclusion: suggestions shown here can help pediatrician establish hypotheses without resorting expensive invasive procedures.