kidney misc Flashcards

1
Q
A

medullary nephrocalcinosis

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2
Q
A
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3
Q

bosniak classifcation?

A

2F

  • septa calcs
  • size > 3cm
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4
Q

bosniak classification?

A

bosniak I

no septa, very simple

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5
Q

what bosniak classification do you follow?

A

bosniak 2F

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6
Q

which bosniak classifications do you excise?

A

3 and 4

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7
Q

diabetic

A

emphysematous pyelonephritis

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8
Q

is this mass enhancing?

A

yes!

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9
Q

new finding. Management?

A

excise it

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10
Q

trauma grade

A

IV

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11
Q
A
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12
Q

Next step?

A

Take it out!!

masses with 3 or more septa are NOT multisepated but they are multiLOCULATED

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13
Q

two most common multilocated masses in an adult?

A

multilocular cystic nephroma and multilocular RCC

you cannot tell the difference between the two on imaging

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14
Q
A
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15
Q

history of schistosomiasis

A
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16
Q
A
17
Q
A

schistosomiasis

18
Q
A
19
Q

fever and leukocytosis

A

pyelonephritis with right renal vein thrombus

20
Q
A

XGP with staghorn calc

21
Q
A

UPJ crossing vessel

22
Q
A

retroperitoneal liposarcoma

10–15% of all liposarcomas arise from the retroperitoneum

23
Q
A

retroperitoneal fibrosis

24
Q

50F

A

Mixed epithelial and stromal tumor (MEST)

25
Q

you see a hyperdense cyst on NON-contrast CT and think it is likely a benign hemorrhagic cyst. At what HU can you safely call it a hemorrhagic cyst?

A

> 70 HU

26
Q

you see a hyperdense cyst on contrast-ENHANCED CT and think it is likely a benign hemorrhagic cyst. At what HU can you safely call it a hemorrhagic cyst?

A

trick question!

a hyperdense cyst cannot be diagnosed if only post contrast imaging is available as there is no way to distinguish a hyperdense cyst from an enhancing mass

27
Q

treatment for pyonephrosis

A

emergent PCN

28
Q

when do you put a drain in a renal abscess

A

when > 3cm

29
Q

sign to distinguish a ureteral stone from a phlebolith?

A

soft tissue rim sign.

the presence of a small amount of soft tissue surrounding the calcificaiton suggests a ureteral stone rather than a vascular calcificaton

30
Q
A

papillary carcinoma

demonstrates diffuse weak enhancement - difficult to see on standard post conrast images but best demonstrated on subtraction

31
Q
A

duplicated collecting system. two ureteral jets

32
Q

oncocytoma or RCC?

A

oncocytoma

RCC is cold on PET, oncocytom is flaming hot