Author: Dr. Ayush Goel
Renal tuberculosis occurs due to hematogenous spread.
Salient points:
- Earliest symptom: Frequency of micturation
- Lab reports: Sterile Pyuria
- Best Radiological test: IVP
- Earliest feature - feathery appearance of calyces
- Late - Putty Kidney/Cement Kidney (Autonephrectomy)
- Note: Autosplenectomy is seen in Sickel cell disease
- Urinary bladder - Thimble bladder (thick wall and low capacity)
- Ureter - Golf hole ureters
Note: Bladder calcification is uncommon in TB. Bladder calcification is seen in Schistosomiasis.
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