Mod 6-3 Renal Anomalies Flashcards

1
Q

How many people are affected by urinary tract infections, kidney stones and obstructive processes?

A

Milliions

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2
Q

Why are there routine urinary tract examinations done each year?

A

Because of the lower cost of doing an IVP or cystogram compared to CT or MRI

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3
Q

What is Agenesis?

A

A Congnital absence of an organ.

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4
Q

List characteristics of kidney agenesis.

A
  • Relatively uncommon
  • Incompatible with life
  • Usually encountered with stillborn infants
  • Associated with variety of congenital abnormalities including limb defects and under-developed lungs.
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5
Q

List characteristics of unilateral kidney agenisis.

A
  • Usually asymptomatic
  • 2 times as common as bilateral agenesis
  • Most common in males
  • Kidney present is usually hyperplastic (increase in organic tissue, overgrowth)
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6
Q

What is supernumerary kidney?

A

A third, small kidney wtih a separate excretory system and its own blood supply.

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7
Q

What is hypoplastic kidney?

A

A small, usually fully functioning kidney that has failed to develop to its normal size.

*Not atrophic kidney

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8
Q

Can hypoplastic kidney develop bilaterally?

A

Yes, and can result in renal failure in children.

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9
Q

Is hypoplasia more common unilaterally or bilaterally?

A

Most commonly unilaterally.

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10
Q

What is compensatory hypertrophy?

A

An acquired condition in which one kidney is required to do the work of two and it becomes enlarged.

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11
Q

What is malrotation?

A

When the kidney is rotated more or less than a normal amount and a pathology of some sort is suspected as the cause.

*The kidney may be normal

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12
Q

What is an ectopic kidney?

A

One that does not rise into its normal position during fetal development - it is abnormally located, and usually fully functional.

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13
Q

Where might an ectopic kidney be located in the body?

A
  • Just above the pelvic brim
  • Within the pelvis
  • Above the diaphragm
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14
Q

Ectopic kidneys are of ______ size but occasionally are somwhat _____ and the ____ kidney appears to be more frequently affected than the right.

A

normal; smaller; left;

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15
Q

The ectopia may be crossed or uncrossed???

A

Research this

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16
Q

What will the length of the ureter be for the pelvic kidney?

A

Appropriate for the placement of the kidney

17
Q

What can happen as a result of an ectopic kidney?

A
  • The ureter may be kinked or twisted as a result of hte kidneys position and lead to an obstruction to the flow of urine
  • Also an increased risk of trauma without the protection of the ribs and overlying soft tissue structures
18
Q

What is crossed ectopia?

A

Both kidneys lie on the same side with the ectopic kidney somtimes fused to the normal kidney.

19
Q

What is the position of the ectopoic crossed kidney ureter?

A

It will cross midline to insert into the proper position in the trigone of the bladder.

20
Q

What other anomalies are associated with crossed fused ectopia?

A
  • Anorectal malformation (anus and rectum do not develop properly)
  • Meningomyelocele (form of spina bifida in which back bone and spinal canal do not close before birth)
21
Q

What is the most common fusion abnormality?

A

Horseshoe kidney

22
Q

What is a horseshoe kidney?

A

Where the lower poles of the kidney are usually joined and the kidneys are malrotated so the pelves face forward and the lwoer calyces point medially.

23
Q

How can horseshoe kidneys be seen?

A

On plain radiographs of the abdomen and IVP

24
Q

With a horseshoe kidney the pelves face ______ and the lower calyces point ______.

A

forward; medially

25
Q

What is one of the most frequent congenital anomalies of the urinary tract?

A

Duplication (duplex kidney) of the collecting system.

26
Q

What different forms can the duplication of the collecting system come?

A
  • Divided or bifid renal pelvis
  • Complete double pelvis, ureter and ureteovesicle orifice.
27
Q

What is a bifid ureter?

A

Two ureters rising from the pelvis of the kidney joining together lower in the abdomen.

28
Q

What are some complications that can arise from bifid ureters or duplication of the collecting system?

A
  • Reflux
  • Infection
29
Q

What is the effect on radiographic technique from duplication of the collecting system?

A

There is none

30
Q
A