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Flashcards in GU Deck (31):
1

What is the size of normal kidneys?

9-15 cm

2

What is the echogenicity of the normal kidney?

Equal or slightly less then liver and spleen

3

What is a dromedary hump?

Bulge on left kidney as a result of adaptation to the adjacent spleen

4

Potters sequence? Insult?

Insult maybe Ace-I. Kidneys don't form. Results in pulmonary hypoplasia

5

If there is renal agenesis what else is related in women?

Unicornuate uterus (70% will have some gyn path)

6

If there is renal agenesis what else is related in men?

20% absence of the ipsilateral epididymis and vas deferense +/- ipsilateral seminal vesicle cyst. Absent ipsilateral hemi-trigone

7

What is Mayer-Rokitansky-kuster-hauser?

Mullerian duct anomalies:
Absense or atresia of the uterus
Unilateral renal agenesis

8

Associations with Horseshoe kidney?

Turners
8x increase in wilms risk
TCC (from infections)
Renal carcinoid
Trauma
UPJ obstruction, stones, infection

9

Where is the ectopic kidney in cross fused ectopia?

Inferior

10

Can RCC have fat in it?

Yes! Especially clear cell subtype. Look for calcifications. If not think AML.

11

Most common subtype of RCC.

Clear cell

12

What is clear cell RCC associated with? How does it enhance?

Avid Enhancement. VHL.

13

What is the second most common RCC type?

Papillary

14

How does papillary RCC enhance? What is it assoicated with?

Homogenous but not more then cortex. Hereditary papillary renal carcinoma

15

What RCC is assoicated with SS trait?

Medullary.

16

What is chromophobe RCC assoicated with?

Birt Hogg Dube

17

What is the translocation in multi-locular clear cell RCC?

Xp11

18

What is stage 1 RCC?

Limited to kidney < 7cm

19

What is stage 2 RCC?

Limited to kidey > 7cm

20

What is stage 3 A/B/C Rcc?

Stage 3 still inside gerota's fascia
A: Renal vein invaded
B: IVC below diaphram
C: IVC above diaphram

21

What is stage 4 RCC?

Beyond Gerota's fasica / Adrenal involvement

22

What phase is most sensitive for detection of RCC?

Nephrogram phase ~ 80 seconds

23

RCC risks?

Dialysis
Acquire cystic disease
Phenacetin abuse
Tobacco
VHL

24

Differential for solid renal mass?

RCC
Oncocytoma
angiosarcoma
leiomyosarcoma
leiomyoma

25

Does ADPKD cause increased RCC risk?

Not unless patient on dialysis

26

T2 Dark lesion in kidney DDX

Lipid poor aml
Hemorrhagic Cyst
Papillay RCC

27

Bilateral enlarged kidneys with preserved shape suggests?

Renal lymphoma

28

Most common viseral organ involved in leukemia?

Kidneys

29

AML are assoicated with what?

Tubular sclerosis

30

AML has risk of bleeding if over what size?

4Cm

31

What % of AML can be lipid poor?

5%