{"id":348,"date":"2019-11-22T12:00:00","date_gmt":"2019-11-22T11:00:00","guid":{"rendered":"https:\/\/admsu.org\/w\/?p=348"},"modified":"2019-11-28T10:27:02","modified_gmt":"2019-11-28T09:27:02","slug":"ecmu-n7-reponse","status":"publish","type":"post","link":"https:\/\/admsu.org\/w\/ecmu-n7-reponse\/","title":{"rendered":"ECMU N\u00b07"},"content":{"rendered":"\n<p>Patiente de 22 ans se pr\u00e9sentant aux urgences pour douleur fosse lombaire gauche r\u00e9sistante au parac\u00e9tamol, trait\u00e9e depuis 3 jours pour cystite par FosfomycineTrometamol\u00b0. <br>Absence de fi\u00e8vre,<br>Pas de syndrome inflammatoire<br>Pas de dysurie<br>Aucun ant\u00e9c\u00e9dent, contraception par DIU<br>Ant\u00e9c\u00e9dent paternel: colique n\u00e9phr\u00e9tique<\/p>\n\n\n\n<p>Vous suspectez une colique n\u00e9phr\u00e9tique et un traitement par AINS et morphine est d\u00e9but\u00e9.<\/p>\n\n\n\n<p>L&#8217;ECMU est la suivante.<br>Que d\u00e9cidez vous?<\/p>\n\n\n\n<figure class=\"wp-block-image\"><img loading=\"lazy\" decoding=\"async\" width=\"557\" height=\"419\" src=\"https:\/\/admsu.org\/w\/wp-content\/uploads\/2019\/09\/ECMU7.png\" alt=\"\" class=\"wp-image-350\" srcset=\"https:\/\/admsu.org\/w\/wp-content\/uploads\/2019\/09\/ECMU7.png 557w, https:\/\/admsu.org\/w\/wp-content\/uploads\/2019\/09\/ECMU7-300x226.png 300w\" sizes=\"auto, (max-width: 557px) 100vw, 557px\" \/><\/figure>\n\n\n\n<figure class=\"wp-block-image\"><img loading=\"lazy\" decoding=\"async\" width=\"558\" height=\"421\" src=\"https:\/\/admsu.org\/w\/wp-content\/uploads\/2019\/09\/ECMU7-01.png\" alt=\"\" class=\"wp-image-351\" srcset=\"https:\/\/admsu.org\/w\/wp-content\/uploads\/2019\/09\/ECMU7-01.png 558w, https:\/\/admsu.org\/w\/wp-content\/uploads\/2019\/09\/ECMU7-01-300x226.png 300w\" sizes=\"auto, (max-width: 558px) 100vw, 558px\" \/><\/figure>\n\n\n\n<p>Vous notez un kyste du pole superieur du rein gauche qui est l\u00e9g\u00e8rement h\u00e9t\u00e9rog\u00e8ne. <br>Il n&#8217;y a pas de dilatation des cavit\u00e9s py\u00e9localicielles \u00e0 j+3 de la douleur.<\/p>\n\n\n\n<p><strong>Note: <\/strong>un kyste r\u00e9nal se d\u00e9finit \u00e0 l&#8217;\u00e9chographie comme hypodense, peut \u00eatre h\u00e9t\u00e9rog\u00e8ne, se situant souvent dans le cortex, et ne communiquant pas avec le bassinet. Ils sont fr\u00e9quents et peuvent \u00eatre b\u00e9nin ou malin<\/p>\n\n\n\n<p>Vous demandez une TDM r\u00e9nale<\/p>\n\n\n\n<div class=\"wp-block-media-text alignwide\" style=\"grid-template-columns:63% auto\"><figure class=\"wp-block-media-text__media\"><video controls src=\"https:\/\/admsu.org\/w\/wp-content\/uploads\/2019\/09\/ecmu7.webm\"><\/video><\/figure><div class=\"wp-block-media-text__content\">\n<p>TDM abdomino-pelvienne sans contraste : <br> &#8211; absence de colique n\u00e9phr\u00e9tique. <br>&#8211; h\u00e9morragie intrakystique du pole sup\u00e9rieur du rein gauche.<\/p>\n<\/div><\/div>\n\n\n\n<p>prescription d&#8217;antalgie<br>contr\u00f4le scanographique et consultation urologique \u00e0 1 mois<\/p>\n\n\n\n<h2 class=\"wp-block-heading\">Plus+<\/h2>\n\n\n\n<p class=\"has-text-align-center\">voici une image de dilatation pyelocalicielle, notez la jonction avec le pyelon<\/p>\n\n\n\n<figure class=\"wp-block-image\"><a href=\"https:\/\/admsu.org\/w\/wp-content\/uploads\/2019\/11\/rein_dilatation.jpg\"><img loading=\"lazy\" decoding=\"async\" width=\"630\" height=\"438\" src=\"https:\/\/admsu.org\/w\/wp-content\/uploads\/2019\/11\/rein_dilatation.jpg\" alt=\"\" class=\"wp-image-399\" srcset=\"https:\/\/admsu.org\/w\/wp-content\/uploads\/2019\/11\/rein_dilatation.jpg 630w, https:\/\/admsu.org\/w\/wp-content\/uploads\/2019\/11\/rein_dilatation-300x209.jpg 300w\" sizes=\"auto, (max-width: 630px) 100vw, 630px\" \/><\/a><\/figure>\n\n\n\n<h2 class=\"wp-block-heading\">Plus+<\/h2>\n\n\n\n<p class=\"has-text-align-center\">cours d&#8217;imagerie \u00e9chographique r\u00e9nale (cr\u00e9ez votre compte, c&#8217;est gratuit)<br> <a href=\"https:\/\/www.inkling.com\/read\/dawson-introduction-bedside-ultrasound-volumes-1-2-1st\/chapter-6\/ch06-reader-0\">c&#8217;est ici<\/a><\/p>\n\n\n\n<p><\/p>\n","protected":false},"excerpt":{"rendered":"<p>Patiente de 22 ans se pr\u00e9sentant aux urgences pour douleur fosse lombaire gauche r\u00e9sistante au parac\u00e9tamol, trait\u00e9e depuis 3 jours pour cystite par FosfomycineTrometamol\u00b0. Absence de fi\u00e8vre,Pas de syndrome inflammatoirePas de dysurieAucun ant\u00e9c\u00e9dent, contraception par DIUAnt\u00e9c\u00e9dent paternel: colique n\u00e9phr\u00e9tique Vous suspectez une colique n\u00e9phr\u00e9tique et un traitement par AINS et morphine est d\u00e9but\u00e9. L&#8217;ECMU est &hellip; <\/p>\n<p class=\"link-more\"><a href=\"https:\/\/admsu.org\/w\/ecmu-n7-reponse\/\" class=\"more-link\">Continuer la lecture<span class=\"screen-reader-text\"> de &laquo;&nbsp;ECMU N\u00b07&nbsp;&raquo;<\/span><\/a><\/p>\n","protected":false},"author":1,"featured_media":0,"comment_status":"open","ping_status":"open","sticky":false,"template":"","format":"standard","meta":{"footnotes":""},"categories":[22],"tags":[],"class_list":["post-348","post","type-post","status-publish","format-standard","hentry","category-ecmu-commente"],"_links":{"self":[{"href":"https:\/\/admsu.org\/w\/wp-json\/wp\/v2\/posts\/348","targetHints":{"allow":["GET"]}}],"collection":[{"href":"https:\/\/admsu.org\/w\/wp-json\/wp\/v2\/posts"}],"about":[{"href":"https:\/\/admsu.org\/w\/wp-json\/wp\/v2\/types\/post"}],"author":[{"embeddable":true,"href":"https:\/\/admsu.org\/w\/wp-json\/wp\/v2\/users\/1"}],"replies":[{"embeddable":true,"href":"https:\/\/admsu.org\/w\/wp-json\/wp\/v2\/comments?post=348"}],"version-history":[{"count":9,"href":"https:\/\/admsu.org\/w\/wp-json\/wp\/v2\/posts\/348\/revisions"}],"predecessor-version":[{"id":406,"href":"https:\/\/admsu.org\/w\/wp-json\/wp\/v2\/posts\/348\/revisions\/406"}],"wp:attachment":[{"href":"https:\/\/admsu.org\/w\/wp-json\/wp\/v2\/media?parent=348"}],"wp:term":[{"taxonomy":"category","embeddable":true,"href":"https:\/\/admsu.org\/w\/wp-json\/wp\/v2\/categories?post=348"},{"taxonomy":"post_tag","embeddable":true,"href":"https:\/\/admsu.org\/w\/wp-json\/wp\/v2\/tags?post=348"}],"curies":[{"name":"wp","href":"https:\/\/api.w.org\/{rel}","templated":true}]}}