renal cysts Flashcards
what is the treatment for medullary sponge kidney?
essentially try to stop stones, increase fluids, alkali therapy, thiazide to decrease calcium
what is the maintenance therapy for autosomal dominant polycystic kidney disease?
ACE/ ARB
person 20-40 presents w/ abdominal mass, HTN, painless hematuria, hx of UTI/nephrolithiasis, large kidneys on exam, what radiologic imaging should you order?
US
what is the definitive treatment for autosomal dominant polycystic kidney disease?
transplant
what is damaged in medullary sponge kidney?
medulla and collecting ducts
what presents w/ hematuria, recurrent UTIs, nephrolithiasis, and appears as small round calculi in the pyramidal regions just beyond the calyces on plain films?
medullary sponge kidney
what is the MC inherited kidney disease?
autosomal dominant polycystic kidney disease
what complications are associated w/ ADPKD?
cysts elsewhere, cerebral aneurysms, cardiac valvular/vascular abnomalities
what are the criteria for a benign cyst?
- echo free (black)
- sharply demarcated w/ smooth walls
- enhanced back wall -> indicating good transmission
if a you perform a CT or US and the cyst doesn’t seem appear to be simple what do you do?
urology referral for surgical exploration
patient on dialysis w/ long standing renal failure presents w/ back pain and hematuria. You suspect it’s ___, and you tell them the treatment is ___, and they need to be concerned about ___ and ____.
acquired renal cystic disease, kidney transplant, malignancy, that it will progress to end stage renal disease
what has a swiss cheese appearance?
medullary sponge kidney
what would be a bad indication of a cyst on CT?
enhancement
what imaging is diagnostic for medullary sponge kidney?
CT shows cystic dilation of the DCT, and calcifications in renal collecting system
