Congenital Abnormalities of the Kidneys Flashcards

1
Q

Give examples of congenital abnormalities of the kidneys

A

Polycystic kidney disease
Renal agenesis
Inherited glomerular disease - Allport’s syndrome, thin glomerular basement membrane disease and hereditary nephrotic syndrome
Hereditary tubulo-interstitial disease

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2
Q

What investigations should be conducted for polycystic kidney disease

A
Renal ultrasound
CT AP
U+Es
Lipid profile
Urinalysis
ECG
Genetic testing
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3
Q

What symptoms might polycystic kidney disease present with?

A
Flank/abdominal pain
Renal colic
Gross haematuria
UTI
Kidney stones
Hepatic disease
Palpable mass of the kidneys
Early onset hypertension
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4
Q

How is polycystic kidney disease managed?

A
Renoprotective strategies:
Lifestyle - weight loss, smoking cessation
Antihypertensives
Statins
Tolvaptan
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5
Q

What are the potential complications of polycystic kidney disease?

A
Cardiovascular disease
SAH
GORD
Sepsos
Pregnancy complications
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6
Q

Unilateral renal agenesis is associated with increased risk of what other abnormalities / conditions?

A

Mullerian duct abnormalities
Hypertension
Focal segmental glomerulosclerosis

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