session 11- polycystic kidney disease/cancer

Question 1

investigations RCC

Answer 1

radiology, endoscopy (flexible cystoscopy), urine cystology

Question 2

how to treat metastatic RCC

Answer 2

no treatment

Question 3

treatment low risk non muscle invasive TCC

Answer 3

TURBT + intravesicle chemotherapy

Question 4

treatment high risk non muscle invasive TCC

Answer 4

TURBT + intravesical chemo + intravesicle BCG + cystectomy

Question 5

treatment muscle invasive TCC

Answer 5

cystectomy and radiotherapy/palliative

Question 6

what is the inheritance pattern for polycystic kidney disease

Answer 6

autosomal dominant

Question 7

how does polycystic kidney disease presnet

Answer 7

30-40 years with hypertension, acute loin pain, haematuria, bilateral palpable kidneys

Question 8

describe disease process of polycystic kidney disease

Answer 8

large yellow fluid filled cysts replace parenchyma, haemorrhage into cysts.

Question 9

how to manage polycystic kidney disease

Answer 9

treat hypretension- ACE inhibitors/ang2 blockers.
no contact sports
if causes CKD- dialysis and renal transplant