GU CORE - Sheet1 Flashcards
when I say “persistent nephrograms” you say
ATN - contrast induced nephropathy
when I say “unilateral renal agenesis” you say
men: absent ipsilateral epidydymis, vas deferens, and ipsilateral seminal vesicle cyst vs. woman: mullarian anomalies (unicornuate uterus)
renal cancer syndromes! clear cell
von hippel-lindau
renal cancer syndromes! papillary
hereditary papillary renal carcinoma
renal cancer syndromes! chromophobe
birt hogg dube
renal cancer syndromes! medullary
sickle cell trait
additional findings in ADPKD
cysts in liver, kidneys are big
additional findings in VHL
cysts in pancreas
additional findings in acquired/uremic renal cyst syndrome
kidneys are small
3 ways to show oncocytoma (CT, US, PET/CT)
- CT: solid mass with central scar 2. US: “spoke wheel” vascular pattern 3. PET/CT: hotter than surrounding renal cortex
RCC vs. oncocytoma on PET/CT
RCC is typically colder than surrounding renal parenchyma on PET, whereas oncocytoma is typi cally hotter.
medial deviation of the ureters on IVP
retroperitoneal fibrosis
lateral deviation of the ureters on IVP
Psoas Hypertrophy, or lymph nodes
When I say “bladder stones,” you say
neurogenic bladder
When I say “pine cone appearance,” you say
neurogenic bladder
When I say “urethra cancer,” you say
squamous cell CA
When I say “urethra cancer- prostatic portion,” you say
transitional cell CA
When I say “urethra cancer - in a diverticulum,” you say
adenocarcinoma
When I say “vas deferens calcifications,” you say
diabetes
When I say “calcifications in a fatty renal mass,” you say
RCC
When I say “protrude into the renal pelvis,” you say
Multilocular cystic nephroma
When I say “no functional renal tissue,” you say
Multicystic Dysplastic Kidney
When I say “Multicystic Dysplastic Kidney,” you say
contralateral renal issues (50%)
When I say “Emphysematous Pyelonephritis,” you say
diabetic
When I say “Xanthogranulomatous Pyelonephritis,” you say
staghorn stone
When I say “Papillary Necrosis,” you say
diabetes
When I say “shrunken calcified kidney,” you say
TB
When I say “big bright kidney with decreased renal function,” you say
HIV
When I say “history of lithotripsy,” you say
Page Kidney
When I say “cortical rim sign,” you say
subacute renal infarct
When I say “history of renal hiopsy,” you say
AVF
When I say “reversed diastolic flow,” you say
renal vein thrombosis
When I say “sickle cell trait,” you say
medullary RCC
When I say “Young Adult, Renal Mass,+ Severe HTN,” you say
Juxtaglomerular Cell tumor
When I say “squamous cell bladder CA,” you say
Schistosomiasis
When I say “entire bladder calcified,” you say
Schistosomiasis
When I say “urachus,” you say
adenocarcinoma of the bladder
When I say “ long stricture in urethra,” you say
Gonococcal
When I say “short stricture in urethra,” you say
Straddle Injury
calcifications in a renal cancer are associated with increased or decreased survival
increased
RCC bone mets are lytic or blastic
“always” lytic
dialysis increases your risk of
malignancy
most common location for TCC
bladder
second most common location for TCC
upper urinary tract
upper tract vs. bladder TCC: multifocal?
Upper Tract TCC in more commonly multifocal ( 12%) - as opposed to bladder ( 4%).
Weigert Meyer Rule
Upper Pole inserts medial and inferior
leukoplakia vs. malakoplaki: chance of malignancy?
Leukoplakia is pre-malignant; Malakoplakia is not pre-malignant
extra vs. intra peritoneal bladder rupture: management
extra: medically vs. intra: surgically
extra vs. intra peritoneal bladder rupture: which is more common?
extraperitoneal is more common
which renal stones are invisible on CT?
indinavir
which renal stones are invisible on x-ray?
uric acid
“subcapsular fluid collection” is associated with what type of cancer?
malignant rhabdoid tumor of the kidney
