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Flashcards in Genitourinary Tract Imaging Deck (53)
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1

MC cause of renovascular HTN

ATHEROSCLEROSIS

- followed by FMD(Fibromuscular Dysplasia);
string of pearl sign in the arteries (common FMD finding)

2

Adrenal Adenomas vs Adrenal Mets

Adenomas - Early contrast washout

Mets - Slow contrast washout

3

In color Doppler UTZ, until what renal artery segment can it detect?

ARCUATE ARTERY

4

Clinical Triad of Tuberous Sclerosis (TS)?

"MEA-TS"

1. Mental retardation
2. Epilepsy
3. facial Angiofibroma

5

MC common renal fusion anomaly?

"I'MA be 'gon Horseback riding"

HORSESHOE KIDNEY

- ascent is prevented by the inferior mesenteric artery (IMA)

6

DIAGNOSIS?
CT: central stellate scar
Angiography: spoke wheel pattern of vessels

RENAL ONCOCYTOMA

7

MC renal mass?

Simple Renal Cyst

8

Most common renal pelvic tumor (mostly malignant)?

TRANSITIONAL CELL CA

9

MC Primary tumor site producing solid renal mets

LUNG CA

10

Xanthogranulomatous Pyelonephritis Triad
(BEAR PAW SIGN)

"X General Practitioner SCaM"

1. Staghorn Calculus
2. Absent or diminished excretion of contrast medium
3. poorly defined renal Mass

11

Most common bacterial infection involving kidney?

ACUTE PYELONEPHRITIS

12

Potter's syndrome

Bilateral renal AGENESIS

13

Putty Kidney

Renal TB

14

MC cause of Chronic Pyelonephritis

In children? In adults?

In children: VUR

In Adults: calculi and chronic obstruction

15

Most frequent site of extrapulmonary TB?

URINARY TRACT

16

Primary cause of renal failure in HIV Patients?

HIV Nephropathy

17

***RENAL STONES***
1. Staghorn calculi stones?
2. Stones which recurs quickly ("RUSH")?
3. MC renal stones (give 2).
4. Give the three Radiolucent stones on conventional films
5. Type of stones in Congenital Cystinuria

1. Struvite
2. bRUSHite
3. CaOx and CaPO4
4. Uric Acid, Xanthine, and Indinavir
5. Cystine

18

WEIGERT-MEYER RULE

"UO" or "Urine Output"

(Drooping lily sign)

Upper Pole moiety: Obstructs (ends as a ureterocoele)
- inferomedial insertion

Lower pole moiety: Refluxes (Drooping lily sign)

19

Carney’s Triad?

"CLaP"

1. pulmonary Chondroma
2. gastric Leiomyosarcoma
3. functioning extra-Adrenal Pheochromocytoma

20

Most common primary renal malignancy?

RCC (clear cell type)

- chromophobe type (best prognosis)

21

Prostate gland

P for Patay; T for Thick

Peripheral zone: MC site of prostatic adenoCA
- baseball-catcher glove

Transitional zone: MC site of BPH
- Hindi kita sa ultrasound probe

22

Male urethral segments

"PPM"

"ABP"

PPM
- Posterior: Prostatic, Membranous (shortest segment)

ABP
- Anterior: Bulbous , Penile

23

Cell type in urAchal carcinoma?

Adenocarcinoma

24

Fistula from....
Complication of Diverticulitis?

Of gynecological surgery especially of cervical CA?

Attributable to Crohn's disease?

1. Vesicolonic fistula
2. Vesicovaginal fistula
3. Vesicoenteric fistula

25

Meig's Syndrome

Associated with ascites and pleural effusion in patient's with ovarian fibromas

26

Rokitansky nodule

Teratoma (MC germ cell neoplasm of the ovary)

27

A-D-PKD (Autosomal Dominant Polycystic Kidney Disease)

"D for Disastrous"



- Kidneys enlarged, replaced by multiple, bilateral,
asymmetrical cysts of VARYING SIZES

28

Most common hereditary renal disorder

ADPKD

29

MC curable cause of htn?

Renal Artery Stenosis

30

Retinal angiomatosis, CNS hemangioblastomas,
pheochromocytomas, RCC

- RCC usually multifocal and bilateral

Von Hippel-Lindau Disease

- Renal cysts most common finding

31

Mental retardation, seizures, facial nevus flammeus
(adenoma sebaceum)

- Associated w/ AML and RCC

Tuberous Sclerosis

32

MC form of simple renal ectopy

PELVIC KIDNEY in which the kidney is located in the true pelvis
or anterior to the sacrum (sacral kidney)

33

MC renal anomaly

HORSESHOE KIDNEY

34

MC cause of an abdominal mass in a neonate (dunnick)

CONGENITAL UPJ OBSTRUCTION

35

CIRCUMCAVAL URETER results when the ____ vein persists and forms the major portion of the vena cava

SUBCARDINAL VEIN

36

Most frequently occurring congenital anomaly in the urinary tract (dunnick)

Partial Duplication

37

Faceless kidney

Duplex collecting system

38

MC abnormality associated with complete duplications

REFLUX INTO THE LOWER MOIETY

39

Drooping Lily sign

DUPLEX COLLECTING SYSTEM

40

Cobra-head or Spring onion deformity

URETEROCELE

41

Most causes of pseudoureterocele are acquired;
MC cause of pseudoureterocele is ______.

STONE IMPACTED IN THE DISTAL URETER
producing a zone of edema around the ureteral orifice,
which mimics a true ureterocele

42

MC congenital bladder lesion

EXSTROPHY

43

HURLEY STICK DEFORMITY of the distal ureters just proximal to the ureterovesical junctions

BLADDER EXSTROPHY

44

HUTCH Diverticulum

Congenital Bladder Diverticulum

45

Umbilical attachment of the bladder which normally becomes a completely obliterated fibrous cord (umbilical ligament)

URACHUS

46

Abnormal structure which allows flow of urine from the bladder to the umbilicus

PATENT URACHUS

47

Segmental failure of closure of the urachus at the bladder attachment

URACHOCELE or diverticulum in the dome of the bladder

48

Failure of urachus closure at the umbilical attachment

UMBILICAL SINUS

49

Failure of urachus closure in any other part of the duct

URACHAL CYST

50

MEYER-WEIGERT LAW
IDENTIFY THE MOIETY INVOLVED.

- ureter is ectopic
- enters bladder inferiorly and medially
- may obstruct

"UO"

UPPER Pole Moiety

"UO"
- Upper pole Obstructs

51

MEYER-WEIGERT LAW
IDENTIFY THE MOIETY INVOLVED.

- ureter is orthotopic
- may reflux

Lower pole moiety

52

Posterior urethral valve types
Identify the types of the following:

A. Iris diaphragm across distal prostatic urethra
B. Proximal Leaflets - probably acquired
C. MOST COMMON; leaflets from distal veromontanum to urethral wall

Posterior urethral valve types:

TYPE III - Iris diaphragm across distal prostatic urethra
TYPE II - Proximal Leaflets - probably acquired
TYPE I - MOST COMMON; leaflets from distal veromontanum to urethral wall

53

MC ectopic position for the undescenced testicle

INGUINAL CANAL