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Abdominal Pathology > Lesson 4D (Part 2) > Flashcards

Lesson 4D (Part 2) Flashcards

1
Q

Medullary sponge kidney

A

Dilated ectatic collecting tubules

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2
Q

Is medullary spong kidney congenital?

A

Yes

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3
Q

Is medullary sponge kidney symptomatic or asymptomatic?

A

Asymptomatic

- until the 30-40s

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4
Q

What do renal stones cause? (4)

A
  1. Renal colic
  2. Hematuria
  3. Dysuria
  4. Flank pain
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5
Q

What kind of disease is multicystic dysplastic?

A

Nonhereditary developmental anomaly

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6
Q

What does multicystic dysplastic look like? (3)

A
  1. Kidney is small
  2. Malformed with multiple cysts
  3. Little or no normal renal parenchyma
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7
Q

Is multicystic dysplastic symptomatic or asymtomatic?

A

Asymptomatic

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8
Q

Is multicystic dysplastic unilateral or bilateral?

A

Unilateral

- if bilateral it is incompatible with life

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9
Q

What is 90% of cases of multicystic dysplastic associated with?

A

UT obstruction during embryogenesis

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10
Q

MCKD1

A

Medullary cystic kidney disease

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11
Q

Medullary cystic kidney disease

A

Is an inherited condition that leads to scarring of the kidney and cyst formation

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12
Q

When do symptoms begin for MCKD1?

A

Adulthood

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13
Q

What are the symptoms for MCKD1? (3)

A
  1. Increased urine production
  2. Polyuria
  3. Nocturia
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14
Q

What does MCKD1 result in?

A

Kidney failure

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15
Q

What kind of tumour is multilocular cystic nephroma? (2)

A
  1. Uncommon

2. Benign neoplasm

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16
Q

What gender is multilocular cystic nephroma more common in?

A

Females

17
Q

What are the symptoms of multilocular cystic nephroma?

A
  1. UTI abdominal pain
  2. Hematuria
  3. Hypertension
  4. Asymptomatic
    - sometimes
18
Q

What does multilocular cystic nephroma look like on US? (3)

A
  1. Multiseptated
  2. Exophytic complex cystic mass
  3. Noncommunicating locules
19
Q

What is not recommended for multilocular cystic nephroma?

A

Biopsy

20
Q

What is multilocular cystic nephroma confirmed with?

A

CECT

21
Q

What kind of disease is localized cystic disease? (3)

A
  1. Rare
  2. Benign
  3. Nonhereditary
22
Q

What does multilocular cystic nephroma mimic?

A

Autosomal Dominant Polycystic Kidney Disease

23
Q

What is the parenchyma like between the conglomerate mass of cysts of varying size?

A

Normal or atrophic renal parenchyma

24
Q

What does not help in the diagnosis of localized cystic disease? (2)

A
  1. Family history of ADPKD

2. Lack of cysts in other kidney

25
Q

What helps to diagnose localized cystic disease? (2)

A
  1. CT

2. MRI

26
Q

What kind of disease is Von Hipple-Lindau disease?

A

Inherited disease

27
Q

What does 40% of people with Von Hipple-Lindau disease develop?

A

RCC

28
Q

Is Von Hipple-Lindau disease unilateral or bilateral?

A

Bilateral

29
Q

Is Von Hipple-Lindau disease multifocal?

A

Yes

30
Q

What are a common finding with Von Hipple-Lindau disease?

A

Renal cysts

31
Q

What is useful in the diagnosis of Von Hipple-Lindau disease?

A
  1. US
  2. CT and MRI
    - better for detection of small multifocal and bilateral tumors

Abdominal Pathology (49 decks)

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