UROPATÍA OBSTRUCTIVA VIAS ALTAS Y BAJAS

1. UNIVERSIDAD DE GUAYAQUIL
FACULTAD DE CIENCIAS MÈDICAS
CARRERA DE MEDICINA
TEMA:
UROPATÍA OBSTRUCTIVA
GRUPO
MED-S-CO-10-10
SUBGRUPO
4
INTEGRANTES
QUIROZ SYLKA
RUIZ CAROL
CRUZ DAYANARA
FECHA
17 DE ENERO DEL 2024

2. Cuando existe un obstáculo mecánico o funcional, al flujo de la orina en alguna parte del tracto urinario
UROPATÍA OBSTRUCTIVA
 Clínica
La forma de presentación puede ser:
aguda
crónica
 Grado de
obstrucción
 Localización
de la
obstrucción
incompleta
completa
infravesical
supravesical
(unilateral o
bilateral)
ETIOLOGÍA:

3. Fisiología del tracto urinario en la excreción de la orina
El conjunto de cálices y pelvis renal constituyen, desde el punto de
vista hidráulico, un sistema de bajas presiones que se interpone entre
el parénquima renal y el sistema de transporte activo que representa
el uréter, con altas presiones, preservando al parénquima renal de las
mismas.
La función del uréter consiste en transportar la orina desde el riñón
hasta la vejiga.
Cuando el bolo urinario llega a la unión uretero vesical, la presión en
su interior debe ser mayor que la presión intravesical para que la orina
penetre en la vejiga

4. Cambios patológicos en la pelvis renal y el uréter
La dilatación del tracto urinario por encima de la obstrucción
constituye uno de los mecanismos de defensa que se ponen en
marcha para preservar la función renal, evitando así la elevación de
las presiones intrapiélicas e intracanaliculares.
En presencia de una obstrucción ureteral las presiones intrapiélicas
basales  20-25 mm de Hg.
La presión normal de la pelvis renal  6 y 12 mm de Hg, superando
levemente a la presión intraperitoneal

5. Periodo post-obstructivo
Obstrucción ureteral unilateral
Obstrucción ureteral bilateral
 Después de la eliminación de una obstrucción ureteral de más de 5 horas de evolución
 Flujo aproximadamente normal de orina diluida sin tendencia a la pérdida de sal.
 Después de la eliminación de una obstrucción ureteral
bilateral se observa un flujo urinario de 3 a 10 veces
mayor, debido al defecto de la capacidad de
concentración y de la reabsorción de sodio
 Los mecanismos responsables del mismo son:
a) Alteración de la reabsorción del sodio.
b) Defecto de la concentración urinaria.
c) Diuresis osmótica debida al acúmulo de solutos no
reabsorbibles como la urea y productos nitrogenados

6. ABOUT THE
PATIENT
01. “Despite being red, Mars is a
cold place. It’s full of iron
oxide dust, which makes it
red“

7. AGE: 25
GENDER: Female
ALLERGIES: None
LOCATION: Madrid, Spain
Despite being red, Mars
is a cold place
Mercury is the closest
planet to the Sun
Saturn is the ringed
one. It’s a gas giant
2010 2015 2020
PATIENT MEDICAL
HISTORY

8. Saturn is the ringed one. It’s a gas
giant, composed mostly of
hydrogen and helium
Despite being red, Mars is a very
cold place. The planet is full of iron
oxide dust, which makes it red
REVIEW OF SYSTEMS

9. 1989
It's the year I started my career as a sculptor

10. This is the ringed one
SATURN
Mars is a cold place
MARS
Jupiter is a gas giant
JUPITER
PHYSICAL EXAMINATION

11. PROJECT 2
Jupiter is a gas giant and the biggest planet
in the Solar System. It's the fourth-brightest
object in the night sky. It was named after
the Roman god of the skies and lightning
TEMPORARY
SCULPTURE
SKILLS
Skill 1
Skill 2
Skill 3

12. A PICTURE IS WORTHS A
THOUSAND WORDS

13. DIAGNOSIS
VENUS
Venus has a very
beautiful name and is
the second planet
MARS
Despite being red, Mars
is a cold place. It’s full
of iron oxide dust
JUPITER
Jupiter is a gas giant
and the biggest planet
in the Solar System
SATURN
Saturn is composed
mostly of hydrogen and
also helium
NEPTUNE
Neptune is the farthest
planet and the fourth-
largest one
MERCURY
Mercury is the closest
planet to the Sun and
the smallest one

14. MERCURY
VENUS
2
Venus has a beautiful
name and is the second
planet from the Sun. It’s
hotter than Mercury
and its atmosphere
incredibly is poisonous
Mercury is the closest
planet to the Sun and
the smallest one in
the Solar System—it’s
only a bit larger than
Earth’s moon
1
TREATMENT

15. CONTRAINDICATION
S & INDICATIONS
● Here you can describe the
reason to start the treatment
● Here you can describe the
reason to start the treatment
● Here you can describe the
reason to start the treatment
Mercury
Mercury is the
smallest
● Here you can describe the
reason to stop the treatment
● Here you can describe the
reason to stop the treatment
● Here you can describe the
reason to stop the treatment

16. 12%
23%
42% 81%
64%
TEST 2
TEST 1
Mars is actually
a cold place
Mercury is the
smallest planet
FINDINGS
Neptuno
Venus
Saturn
Jupiter
12%
12%
12%
12%
TEST 3 Saturn is the ringed one
To modify this graph, click onit, follow the link, change
the data and paste the resulting graph here

17. DISCUSSION
02.
“Despite being red, Mars is a
cold place. It’s full of iron
oxide dust, which makes it
red“

18. DISCUSSION
DR. JENNA DOE
“Saturn is the ringed one. It’s a gas
giant, composed mostly of
hydrogen and helium”
DR. DANIEL PATTERSON
“Venus has a really beautiful name
and is the second planet from the
Sun. It's terribly hot“
“Despite being red, Mars is a cold
place. It’s full of iron oxide dust,
which makes it red“
DR. JOHN JAMES

19. DISCUSSION
SUMMARY
Mercury is the closest planet to the
Sun and the smallest one in the Solar
System—it’s only a bit larger than the
Moon. The planet’s name has nothing
to do with the liquid metal, since it
was named after a Roman god

20. 325,000
Total diagnoses in 2019

22. 333,000.00
24h 37m 23s
386,000 km
earths is the Sun’s mass
is Jupiter’s rotation period
is the distance between Earth and the Moon

23. 20%
30%
10%
40%
50%
Neptune is the farthest
planet from the Sun and the
fourth-largest by diameter in
the Solar System
DEMOGRAPHIC DATA

24. Problem vs.
solution
Problem Solution
Despite being red, Mars is a very
cold place. It’s full of iron oxide
dust
Venus has a beautiful name and
is the second planet from the
Sun

25. A PICTURE
IS WORTH A
THOUSAND
WORDS

26. Our goals
Saving money
Jupiter is a gas giant
and the biggest planet
Bathroom saving
Despite being red,
Mars is cold
Drought reduction
Mercury is the closest
planet to the Sun
Water quality
Venus has a beautiful
name, but it’s hot

27. EVALUATION 2
WEEK 2
WEEK 1
WEEK 3
WEEK 4
Pluto is now a
dwarf planet
Saturn has
several rings
Earth is where
we live on
Mercury is the
smallest planet
15%
50%
75%
100%
EVALUATION 1
EVALUATION 3
PATIENT MONITORING
Mars is a cold place
Jupiter is a gas giant
Venus has a nice name

28. Despite being
red, Mars is a
cold place
Mercury is the
closest planet to
the Sun
Venus has a
beautiful name,
but it’s very hot
Neptune is the
farthest planet
from the Sun
POST -
PREVENTION

29. CONCLUSIONS
Mercury is the closest planet to the Sun
and the smallest one in the Solar
System—it’s only a bit larger than the
Moon. The planet’s name has nothing to
do with the liquid metal, since it was
named after the Roman messenger god
Mercury is the closest planet to the Sun
and the smallest one in the Solar
System—it’s only a bit larger than the
Moon. The planet’s name has nothing to
do with the liquid metal, since it was
named after the Roman messenger god

30. Mercury is the closest planet to the Sun
and the smallest one in the Solar System.
It’s only a bit larger than the Moon
● AUTHOR (YEAR). Title of the publication
● AUTHOR (YEAR). Title of the publication
● AUTHOR (YEAR). Title of the publication
● AUTHOR (YEAR). Title of the publication
● AUTHOR (YEAR). Title of the publication
REFERENCES
Mercury is the closest planet to the Sun
and the smallest one in the Solar System.
It’s only a bit larger than the Moon

31. OUR TEAM
Here you could talk
about this person
DR. JOHN
JAMES
Here you could talk
about this person
DR. JANE
PATTERSON

32. TABLET APP
You can replace the image on the
screen with your own work. Just
delete this one, add yours and
center it properly

33. Columns Layout
Insert the title of your subtitle Here
Your Text Here
You can simply impress your
audience and add a unique zing and
appeal to your Presentations.
You can simply impress your
audience and add a unique zing and
appeal to your Presentations. Easy to
change colors, photos and Text. I
hope and I believe that this Template
will your Time, Money and Reputation.
You can simply impress your
audience and add a unique zing and
appeal to your Presentations.
Your Text Here
You can simply impress your
audience and add a unique zing and
appeal to your Presentations.
You can simply impress your
audience and add a unique zing and
appeal to your Presentations. Easy to
change colors, photos and Text. I
hope and I believe that this Template
will your Time, Money and Reputation.
You can simply impress your
audience and add a unique zing and
appeal to your Presentations.

34. Insert the title of your subtitle Here
Your Text Here
You can simply impress your
audience and add a unique zing and
appeal to your Presentations.
You can simply impress your
audience and add a unique zing and
appeal to your Presentations. Easy to
change colors, photos and Text. I
hope and I believe that this Template
will your Time, Money and Reputation.
You can simply impress your
audience and add a unique zing and
appeal to your Presentations.
Your Text Here
You can simply impress your
audience and add a unique zing and
appeal to your Presentations.
You can simply impress your
audience and add a unique zing and
appeal to your Presentations. Easy to
change colors, photos and Text. I
hope and I believe that this Template
will your Time, Money and Reputation.
You can simply impress your
audience and add a unique zing and
appeal to your Presentations.

35. THANKS!
Does anyone have any questions?
You can simply impress your
audience and add a unique zing and
appeal to your Presentations. Easy to
change colors, photos and Text. I
hope and I believe that this Template
will your Time, Money and Reputation.
You can simply impress your
audience and add a unique zing and
appeal to your Presentations.

36. www.plantillaspower-point.com

37. RESOURCES

38. RESOURCES

39. RESOURCES

40. RESOURCES

42. ...and our sets of editable icons

43. Educational Icons Medical Icons

44. Educational Icons Medical Icons

45. Educational Icons Medical Icons