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Nephrology > Examining enlarged kidneys > Flashcards

Examining enlarged kidneys Flashcards

1
Q

Peripheral inspection (3)

A

Renal Impairment HTN Pallor Renal Replacement Therapy AV fistula (or scar) Tunnelled dialysis lines (or scar) Tenchkhoff catheter (or scar) Immunosuppressant Stigmata Cushingoid Skin tumours: AKs, SCC, BCC and MM Gingival hypertrophy: ciclosporin

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2
Q

Inspection

A

Nephrectomy scar Rutherford Morrison scar Tenchkhoff catheter (or scar)

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3
Q

Auscultation

A

Renal bruit

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4
Q

Palpation (3)

A

Palpable Kidney Flank mass Can get above it Ballotable Moves inferiorly ̄c respiration Resonant PN Hepatomegaly Renal Transplant

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5
Q

Completion

A

External genitalia: hydrocele 2O to RCC Urine dip: proteinuria, haematuria CVS: mitral valve prolapse

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6
Q

Significant negatives

A

Unilateral enlargement Hepatomegaly Evidence of RRT or immunosuppression

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7
Q

Differentials if bilateral

A

ADPKD Bilateral RCC (5%) Bilateral cysts: e.g. in VHL Amyloidosis

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8
Q

Differentials if unilateral

A

Simple renal cyst RCC Compensatory hypertrophy + contralateral nephrectomy: ADPKD

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Nephrology (17 decks)

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