Renal artery stenosis Flashcards

1
Q

Definition

A

Blockage of the major blood supply to the kidney

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2
Q

Causes

A

Atherosclerosis

Reno vascular disease

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3
Q

Who gets it?

A

Older patients
Males
People with risk factors for atherosclerosis

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4
Q

It is usually unilateral. True or false?

A

True

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5
Q

Pathogenesis

A

Severe narrowing of the renal artery

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6
Q

Clinical features

A
Renovascular hypertension
AKI after treatment of hypertension
CKD 
Flash pulmonary oedema 
Atherosclerotic disease elsewhere
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7
Q

Examination

A

Abdominal bruits

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8
Q

Investigations

A

US
CT
MRI angiogrphy

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9
Q

Management

A
Statin
Anti-platelet
ACE inhibitor 
- be careful with this 
Stenting
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10
Q

ACE inhibitors cannot be used at all in renal artery stenosis. True or false?

A

False

  • used in unilateral
  • not used in bilateral
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