PKD Flashcards
What is PKD
Cyst formation through renal parenchyma causing bilateral enlargement and damage
What are the causes of PKD
Aut Dominant mutation of PKD1/2
Aut Recessive mutation (Congenital dysfunction)
What does PKD1/2 do
Code for Polycystin/Ca Channels
What is the pathology of PKD
Decreased Calcium influx = less filtrate out = increased cilia growth = Csts
What happens normally at the cilia when filtrate passes
Polycystin open allowing calcium influx (letting filtrate out) and preventing excessive cilia growth
What is the presentation of PKD
Bilateral Flank/Abdo pain
HTN and Haematuria
Sub Arachnoid haemorrhage
Why may a Sub arachnoid haemorrhage appear with PKD
Extra renal cysts rupture berry aneurysm
How is PKD investigated
Kidney USS (Enlarged bilateral kidneys w/ cysts) Genetic tests
How is PKD Treated
Manage HTN and ESRF (Transplant and haemodialsysi)