Pathology Flashcards
cysts of the kidney can be
solitary or multiple
complex cyst may contain
septations, thick walls, calcifications, internal echoes, and mural nodularity
complex cyst are considered
malignant until proven benign
with complex cysts internal echoes are often the result of
protein content, hemorrhage, and/or infection
any irregularity at the base of the cyst should be considered
a malignant growth
if septa is thicker than 1mm with vascularity on color or power Doppler, the lesion is
presumed malignant
parapelvic cyst are
small cysts
parapelvic cysts originate from
the renal sinus
parapelvic cysts do not communicate with
the collecting systems
what are the polycystic kidney disease
- autosomal-recessive polycystic disease (ARPKD)
- autosomal-dominant polycystic kidney disease (ADPKD)
infantile polycystic disease
autosomal-recessive polycystic disease (ARPKD)
rare polycystic kidney disease
autosomal-recessive polycystic disease (ARPKD)
common polycystic kidney disease
autosomal-dominant polycystic kidney disease
adult polycystic kidney disease
autosomal-dominant polycystic kidney disease
four kinds of autosomal-recessive polycystic disease (ARPKD)
- perinatal
- neonatal
- infantile
- juvenile
the type of diagnose of autosomal-recessive polycystic disease (ARPKD) depends on
patients age at the onset of clinical signs
perinatal form of autosomal-recessive polycystic disease (ARPKD) is found in
utero
autosomal-recessive polycystic disease (ARPKD) usually progresses to
renal failure, causing pulmonary hypoplasia and intrauterine demise
with autosomal-recessive polycystic disease (ARPKD) dilation of the renal collecting tubules causes
renal failure
what is the most common form of polycystic kidney disease
autosomal-dominant polycystic kidney disease (ADPKD)
when does autosomal-dominant polycystic kidney disease (ADPKD) usually clinically manifest
does not clinically manifest until the fourth or fifth decade when hypertension or hematuria develops
by age 60 years, patient with autosomal-dominant polycystic kidney disease (ADPKD) approximately
50% of patients have end-stage renal disease
sonographic findings of autosomal-dominant polycystic kidney disease (ADPKD)
- bilateral disease
- enlarged kidneys with multiple asymmetrical cyst vary in size and location in the renal cortex and medulla
clinical symptoms of autosomal-dominant polycystic kidney disease (ADPKD)
- pain
- hypertension
- palpable mass
- hematuria
- headache
- UTI
- renal insufficiency