Renal Vascular Problems Flashcards
What are the 4 renal vascular problems?
Renal artery stenosis
Renal vein thrombosis
Hereditary kidney disease
Nephrosclerosis
What is renal artery stenosis ?
Partial occlusion of one or both renal arteries and major branches
What is the cause of renal artery stenosis? (2)
Artherosclerosis narrowing or
Fibromuscar hyperplasia
What is the manifestation of renal artery stenosis?
Age less than ___ more than
Sudden hypertension
30 and more than 50
What are diagnostic shifts for renal artery stenosis? (5)
Renal duplex
Doppler ultrasound
Ct
MRI angiography
Renal arteriogram
What’s the treatment for renal artery stenosis ? (2)
Control bp & restore renal perfusion
What are 3 treatments we can do renal artery stenosis?
Other forms of treatment, think of surgery!
Percutaneous transluminal renal angioplasty
Surgical revascularization
Nephrectomy ; if only 1 Kidney is involved
Renal vein Thrombosis can occur how ?
Unilateral and bilateral
What are causes of renal vein thrombosis? (6)
( think of pregnancy!!)
Trauma
Extrinsic compression
( tumor )
Renal cell cancer
Pregnancy
Contraceptive use
Nephrotic syndrome
What are the manifestations of renal vein thrombosis? (3)
Flank pain
Hematuria
Nephrotic syndrome
What’s the treatment for renal vein thrombosis? (3)
Anticoagulation
Corticosteroids
Surgical thrombectomy
Hereditary kidney diseases develop what?
Abnormalities of renal parenchyma
Hereditary kidney disease are what In nature?
Cystic
Before you consider something is hereditary kidney disease you want to do what?
Rule out other causes and tumors
What is nephrosclerosis and causes ? (1) (4)
Sclerosis of small arteries and articles of kidney
Reduced blood flow, ischemia, interstitial fibrosis & necrosis
