Urinary System - Part 4 Flashcards

1
Q

Crossed fused

ectopia

A

Both kidneys are fused in the same quadrant

  • 2 separate collecting systems
  • 2 normally located adrenal glands
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2
Q

What the the clinical findings of crossed fused ectopia? (2)

A
  1. Asymptomatic

2. Abdominal mass

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3
Q

What is the US appearance of crossed fused ectopia? (3)

A
  1. One single, large kidney
  2. Irregular contour
  3. Inferior pole is directed medially
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4
Q

What are 3 differential diagnosis of crossed fused ectopia?

A
  1. Renal mass
  2. Cake kidney
  3. Sigmoid kidney
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5
Q

Duplication of the kidney

A

2 distinct collecting systems

  • may involve kidney, ureter, and/or renal pelvis
  • may be partial or complete
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6
Q

What are the clinical findings of duplication of the kidney? (2)

A
  1. Asymptomatic

2. Flank pain

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7
Q

What are the US appearance of duplication of the kidney? (3)

A
  1. Increase in renal length
  2. 2 distinct collecting systems
  3. The superior system is most likely to obstruct
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8
Q

What are 2 differential diagnosis of duplication of the kidney?

A
  1. Hypertrophied column of Bertin

2. Renal mass

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9
Q

Horseshoe kidney

A

Fusion of the kidneys usually at the inferior poles

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10
Q

What is the horseshoe kidney connected by?

A

Connected by an isthmus of functioning parenchyma or non-functioning fibrotic tissue

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11
Q

What is the most common form of renal fusion?

A

Horseshoe kidney

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12
Q

What are the clinical findings of horseshoe kidney? (2)

A
  1. Asymptomatic
  2. Pulsatile abdominal
    mass
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13
Q

What is the US appearance of horseshoe kidney? (4)

A
  1. Bilateral low lying medially placed kidneys with partial or complete fusion of the inferior poles
  2. “Dipping effect” of both inferior poles
  3. Isthmus of tissue demonstrated anterior to the abdominal aorta
  4. Isthmus echo texture is similar to the renal cortex
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14
Q

What are 4 differential diagnosis of horseshoe kidney?

A
  1. Renal mass
  2. Lymphadenopathy
  3. Bowel
  4. Retroperitoneal tumour
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15
Q

Pelvic kidney

A

Failure to ascend with development

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16
Q

What is pelvic kidney associated with?

A

A short ureter

17
Q

What are the clinical findings for pelvic kidney? (2)

A
  1. Asymptomatic

2. Pelvic pain

18
Q

What is the US appearance for pelvic kidney? (4)

A
  1. Elongated core of echogenic tissue surrounded by less echogenic parenchyma
  2. Located in the lower abdomen or pelvis
  3. Empty ipsilateral renal fossa
  4. Lies in an oblique plane
19
Q

What are 2 differential diagnosis for pelvic kidney?

A
  1. Bowel

2. Pelvic mass

20
Q

Renal ptosis

A

Unusual mobile kidney that descends from the normal position toward the pelvis
- poor support structures

21
Q

What is the clinical finding of renal ptosis?

A

Asymptomatic

22
Q

What is the US appearance for renal ptosis?

A

Abnormal mobility of a kidney

23
Q

What are 2 differential diagnosis for renal ptosis?

A
  1. Pelvic kidney

2. Horseshoe kidney

24
Q

What variant is a sigmoid kidney apart of?

A

Horseshoe kidney

25
Q

What are clinical findings of sigmoid kidney? (2)

A
  1. Asymptomatic

2. Abdominal mass

26
Q

What is the US appearance for a sigmoid kidney? (2)

A
  1. Superior pole of one kidney is fused with the inferior pole of the contralateral kidney
  2. S-shaped
27
Q

What are 2 differential diagnosis for a sigmoid kidney?

A
  1. Bowel

2. Abdominal mass

28
Q

Thoracic kidney

A

Kidney migrates into the chest through a herniation in the diaphragm
- rare finding

29
Q

What is a clinical findings for thoracic kidney?

A

Chest mass

30
Q

What is the US appearance for thoracic kidney? (3)

A
  1. Elongated core of echogenic tissue surrounded by less echogenic parenchyma
  2. Located in the chest
  3. Not easily demonstrated on
    US
31
Q

What is a differential diagnosis for thoracic kidney?

A

Chest mass

32
Q

What are the dimensions for an adult kidney? (3)

A
  1. Length = 9-12cm
  2. Width = 4-5cm width
  3. Height = 2.5-3cm
33
Q

What is the minimal of kidney cortical thickness?

A

1cm

34
Q

What is the length of the kidney in a child?

A

7-8cm

35
Q

What is the length of the kidney in an infant?

A

5-6cm