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Presentation of ARD(acquired renal cystic disease)
1.Flank pain
2.UTI
3.visible haematuria
4. renal colic (stone disease); 5.hypertension.
•Investigation
1.This depends on the presenting symptoms.
2. For suspected UTI: culture urine.
3. For haematuria: urine cytology, flexible cystoscopy, and renal USS.
4.On USS(ultrasound scanning), the kidneys are small and hyperechoic, with multiple cysts of varying size, many of which show calcification.
5.If the nature of the cysts cannot be determined with certainty on USS, arrange a renal CT
👍 1
Treatment of renal fusion
Treatment. No treatment is necessary unless complication(Obstruction, hydronephrosis, stone, & infection) is present
Treatment of ADPKDAnonymous voting
- Partial nephrectomy
- Nephrectomy
- Dialysis
- Conservative and supportive
All of following diagnostic criteria of ADPKD except:Anonymous voting
- 2 unilateral or bilateral cysts if aged <30y old.
- 4 cysts in each kidney in patients aged >60y.
- 2 cysts in each kidney in patients aged 30–59y old.
- 3 cysts in each kidney in patients aged 30–59y old.
Laboratory findings of ADPKD
1.Anemia may be noted.
2.Proteinuria and microscopic (if not gross) hematuria are the rule
3.Pyuria and bacteriuria are common.
4.Elevated renal indices
5.IVU:
the renal masses are usually enlarged &caliceal pattern is quite bizarre ( called spider leg deformity).
6.Ultrasound is superior to excretory IVU in the diagnosis.
7.CT scanning in most of cases give an accurate diagnosis.
First complaint apper in ADPKDAnonymous voting
- UTI
- Flank pain
- VESICAL IRRITABILITY
- Colic
Sign of ADPKD
1.one or both kidneys are usually palpable.
2. They may feel nodular.
3. If it is infected they may be tender.
4.Hypertension is found in 60 % of these patients.
5.Fever may be present if pyelonephritis exists or if cysts have become infected.
6. In the stage of uremia, anemia or loss of weight may be evident.
Symptoms of ADPKD
1. POSITIVE FAMILY HISTORY
2.FLANK PAIN
3. HEMATURIA
4.UTI
5. VESICAL IRRITABILITY
6.COLIC
7. UREMIC SYMPTOMS
❤ 1
numerate disorders associated with ADPKD(AUtosmoal dominant polycystic kidney disease.
1.circle of willis berry aneurysms
2.Cysts of liver, pancreas, spleen,seminal vesicles
3.mitral valve prolapse
4.aortic root dilation
5 Aortic aneurysms
6. diverticular disease
7. insurance of renal adenoma (20%)
Treatment of dysplasia and multicystic kidney:Anonymous voting
- Partial nephrectomy
- Nephrectomy
- Dialysis
- Conservative and supportive
VUR(Vesicoureteral Reflux) and PUV(post.urethral valve) associate with dysplasia and multicystic kidneyAnonymous voting
- T
- F
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