Kidneys 4 Flashcards

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1
Q

is nephroblastomatosis malignant?

A

pre malignant

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2
Q

nephroblastomatosis is a precursor for

A

Wilms (found in patients that already have wilms too)

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3
Q

sono appearance of nephroblastomatosis

A

Masses may be hypo, anechoic, or isoechoic

Detectable only if they alter renal contour or distort collecting system

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4
Q

mesoblastic nephroma malignant?

A

no benign

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5
Q

mesoblastic nephroma made of

A

connective tissue

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6
Q

mesoblastic nephroma aka

A

benign wilms tumor

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7
Q

mesoblastic nephroma affects who and is diagnosed when

A

affects neonates and is diagnosed prenatally

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8
Q

why is mesoblastic nephroma treated

A

potential for malignancy

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9
Q

treatment of mesoblastic nephroma if unilateral

A

resections

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10
Q

treatment of mesoblastic nephroma if bilateral

A

chemo/ radiation

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11
Q

sono features of mesoblastic nephroma

A

Can replace most of the parenchyma (large)
Resembles Wilms tumor
Homogeneous or
Heterogeneous with central areas of necrosis and hemorrhage.

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12
Q

Angiomyolipoma is what and made of what

A

Benign hamartoma

Vessels-Muscle-Fat

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13
Q

angiomyolipoma associated with

A

tuberous sclerosis

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14
Q

sono angiomyolipoma

A

Masses/foci in the renal cortex
Homogenous
Hyperechoic
`

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15
Q

is angiomyolipoma bi or uni

A

typically bilateral if it is with Tuberous sclerosis

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16
Q

signs of tuberous sclerosis

A

TS patients present with seizures

Red papular rash over nose/cheeks

17
Q

3 acquired pathologies of the kidneys

A

Pyelonephritis
Nephrolithiasis
Nephrocalcinosis

18
Q

pyelonephritis sono appearance

A

Enlargement of kidneys but need to R/O obstruction

19
Q

is sonography sensitive for detection of acute inflammatory changes in renal cortex

A

no

20
Q

are renal stones common

A

no

21
Q

causes of renal stones (3)

A

Urinary tract infection
Structural abnormalities
Metabolic abnormalities

22
Q

how is renal stone diagnosed

A

U/S and radiography

ultrasound can’t see the ureter stones well

23
Q

what is nephrocalcinosis

A

Deposit of Ca2+ in the kidney

24
Q

causes of nephrocalcinosis

A
iatrogenic - infants on furosemide for lung/heart dx
Hypervitaminosis D
Increased urine calcium
Hypercalcemia (hyperparathyroidism)
Medullary sponge kidneys
25
Q

is nephrocalcinosis Bi or UNI

A

bi

26
Q

appearance of nephrocalcinosis

A

Focal increases in echogenicity in the renal pyramids