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CORE > GU > Flashcards

GU Flashcards

1
Q

What is the size of normal kidneys?

A

9-15 cm

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2
Q

What is the echogenicity of the normal kidney?

A

Equal or slightly less then liver and spleen

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3
Q

What is a dromedary hump?

A

Bulge on left kidney as a result of adaptation to the adjacent spleen

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4
Q

Potters sequence? Insult?

A

Insult maybe Ace-I. Kidneys don’t form. Results in pulmonary hypoplasia

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5
Q

If there is renal agenesis what else is related in women?

A

Unicornuate uterus (70% will have some gyn path)

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6
Q

If there is renal agenesis what else is related in men?

A

20% absence of the ipsilateral epididymis and vas deferense +/- ipsilateral seminal vesicle cyst. Absent ipsilateral hemi-trigone

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7
Q

What is Mayer-Rokitansky-kuster-hauser?

A

Mullerian duct anomalies:
Absense or atresia of the uterus
Unilateral renal agenesis

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8
Q

Associations with Horseshoe kidney?

A 
Turners
8x increase in wilms risk
TCC (from infections)
Renal carcinoid
Trauma
UPJ obstruction, stones, infection
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9
Q

Where is the ectopic kidney in cross fused ectopia?

A

Inferior

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10
Q

Can RCC have fat in it?

A

Yes! Especially clear cell subtype. Look for calcifications. If not think AML.

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11
Q

Most common subtype of RCC.

A

Clear cell

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12
Q

What is clear cell RCC associated with? How does it enhance?

A

Avid Enhancement. VHL.

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13
Q

What is the second most common RCC type?

A

Papillary

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14
Q

How does papillary RCC enhance? What is it assoicated with?

A

Homogenous but not more then cortex. Hereditary papillary renal carcinoma

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15
Q

What RCC is assoicated with SS trait?

A

Medullary.

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16
Q

What is chromophobe RCC assoicated with?

A

Birt Hogg Dube

17
Q

What is the translocation in multi-locular clear cell RCC?

18
Q

What is stage 1 RCC?

A

Limited to kidney < 7cm

19
Q

What is stage 2 RCC?

A

Limited to kidey > 7cm

20
Q

What is stage 3 A/B/C Rcc?

A

Stage 3 still inside gerota’s fascia
A: Renal vein invaded
B: IVC below diaphram
C: IVC above diaphram

21
Q

What is stage 4 RCC?

A

Beyond Gerota’s fasica / Adrenal involvement

22
Q

What phase is most sensitive for detection of RCC?

A

Nephrogram phase ~ 80 seconds

23
Q

RCC risks?

A 
Dialysis
Acquire cystic disease
Phenacetin abuse
Tobacco
VHL
24
Q

Differential for solid renal mass?

A 
RCC
Oncocytoma
angiosarcoma
leiomyosarcoma
leiomyoma
25
Q

Does ADPKD cause increased RCC risk?

A

Not unless patient on dialysis

26
Q

T2 Dark lesion in kidney DDX

A

Lipid poor aml
Hemorrhagic Cyst
Papillay RCC

27
Q

Bilateral enlarged kidneys with preserved shape suggests?

A

Renal lymphoma

28
Q

Most common viseral organ involved in leukemia?

29
Q

AML are assoicated with what?

A

Tubular sclerosis

30
Q

AML has risk of bleeding if over what size?

31
Q

What % of AML can be lipid poor?

CORE (14 decks)

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