Kidneys 3 Flashcards

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1
Q

types of cystic kidney diseases (4)

A

Multicystic Dysplastic Kidney
ARPKD
ADPKD
Medullary Cystic Disease

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2
Q

Multicystic Dysplastic Kidney caused by

A

Ureteral obstruction in utero

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3
Q

what results from Multicystic Dysplastic Kidney

A

terminal tubules become cysts

Kidney looses it’s function

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4
Q

bilateral Multicystic Dysplastic Kidney similar to

A

bilateral renal agenesis

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5
Q

classic appearance of Multicystic Dysplastic Kidney

A

“bunch of grapes” appearance

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6
Q

is Multicystic Dysplastic Kidney one or multiple cysts

A

either

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7
Q

do cysts communicated with Multicystic Dysplastic Kidney

A

no

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8
Q

treatment for Multicystic Dysplastic Kidney

A

Surgical removal— If the kidney is large

With time kidney stops producing urine, size of cysts decrease and kidney may no longer be visible

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9
Q

ARPKD aka

A

Infinitile PKD or Autosomal Recessive

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10
Q

Sono of infantile PKD

A
Both side Large kidneys
Diffusely echogenic*
echogenic foci*
Pyramids not seen*
Associated with hepatic fibrosis
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11
Q

is infantile PKD bilateral or uni

A

bilateral with Symmetrically enlarged kidneys

Cysts are microscopic (tubular dilatation)

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12
Q

ADPKD aka

A

Adult PKD

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13
Q

Adult PKD is bilateral or uni

A

either

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14
Q

Adult PKD may occur in _______ and what size of cysts

A

neonates

cyst size range 0.1-5mm

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15
Q

ADULT PKD CYST MAY BE FOUND IN (5)

A

liver, panc., lungs, spleen, gonads.

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16
Q

2 types of medullary cystic disease

A

medullary sponge kidney and juvenile nephronophthisis

17
Q

what causes echogenic pyramids in medullary sponge

A

calcium deposits

18
Q

4 neoplasm of the kidney

A

Wilms Tumor*
Nephroblastomatosis
Mesoblastic Nephroma
Angiomyolipoma

19
Q

three important things to determine when scanning abdominal mass

A
  1. origin of the mass
  2. extent of the mass
  3. metastases
20
Q

wilms tumor aka

A

nephroblastoma

21
Q

most common renal tumor in ped patients

A

wilms

22
Q

Wilms tumor can invade (4)

A

lymph nodes
retroperitoneal
renal veins
IVC

23
Q

Wilms tumor mets to

A

liver and lungs

24
Q

wilms tumor bi or uni

A

may be bilateral ( i think this means most f the time its uni tho)

25
Q

clinical signs of Wilms tumor

A
Palpable mass
Non-specific symptoms
Pain
Fever
Malaise
Weight loss
Hematuria
Hypertension
26
Q

sono appearance of wilms

A

Large
Well-circumscribed
Homogeneous
Anechoic/cystic spaces from necrosis/hemorrhage