Flashcards in GU Deck (31):
What is the size of normal kidneys?
What is the echogenicity of the normal kidney?
Equal or slightly less then liver and spleen
What is a dromedary hump?
Bulge on left kidney as a result of adaptation to the adjacent spleen
Potters sequence? Insult?
Insult maybe Ace-I. Kidneys don't form. Results in pulmonary hypoplasia
If there is renal agenesis what else is related in women?
Unicornuate uterus (70% will have some gyn path)
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
What is Mayer-Rokitansky-kuster-hauser?
Mullerian duct anomalies:
Absense or atresia of the uterus
Unilateral renal agenesis
Associations with Horseshoe kidney?
8x increase in wilms risk
TCC (from infections)
UPJ obstruction, stones, infection
Where is the ectopic kidney in cross fused ectopia?
Can RCC have fat in it?
Yes! Especially clear cell subtype. Look for calcifications. If not think AML.
Most common subtype of RCC.
What is clear cell RCC associated with? How does it enhance?
Avid Enhancement. VHL.
What is the second most common RCC type?
How does papillary RCC enhance? What is it assoicated with?
Homogenous but not more then cortex. Hereditary papillary renal carcinoma
What RCC is assoicated with SS trait?
What is chromophobe RCC assoicated with?
Birt Hogg Dube
What is the translocation in multi-locular clear cell RCC?
What is stage 1 RCC?
Limited to kidney < 7cm
What is stage 2 RCC?
Limited to kidey > 7cm
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
What is stage 4 RCC?
Beyond Gerota's fasica / Adrenal involvement
What phase is most sensitive for detection of RCC?
Nephrogram phase ~ 80 seconds
Acquire cystic disease
Differential for solid renal mass?
Does ADPKD cause increased RCC risk?
Not unless patient on dialysis
T2 Dark lesion in kidney DDX
Lipid poor aml
Bilateral enlarged kidneys with preserved shape suggests?
Most common viseral organ involved in leukemia?
AML are assoicated with what?
AML has risk of bleeding if over what size?