Lesson 4D (Part 3) Flashcards Preview

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Flashcards in Lesson 4D (Part 3) Deck (31)
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1

What kind of disease is tuberous disease?

Inherited disease

2

What is tuberous disease characterized by? (3)

1. Intellectual disability
2. Seizures
3. Adenoma sebaceum
- red marks on face

3

Where does tuberous disease come from? (2)

1. Autosomal dominant
2. Spontaneous mutation

4

What is tuberous disease associated with? (2)

1. AML
2. RCC

5

What does tuberous disease look like on US? (2)

1. Multiple cysts from microscopic to 3 cm in size
2. Appears similar to ADKPD

6

What modality us used to follow up tuberous disease?

CT

7

What are renal injuries from?

Blunt or penetrating injury

8

How does blunt trauma usually heal?

Without treatment

9

What do penetrating injuries usually a result of? (2)

1. Gunshot
2. Stab wounds

10

What are the 4 major categories of renal injuries?

1. Minor injury
- 75-85%
2. Major injuries
- 10%
3. Catastrophic injuries
- 5%
4. Uteropelvic junction avulsion

11

What are examples of minor injuries? (5)

1. Contusions
2. Subcapsular
3. Hematoma
4. Cortical infarcts
5. Superficial lacerations

12

What are examples of major injuries?

Renal lacerations
- may extend into the collecting system and segmental renal infarct

13

What are examples of catastrophic injuries? (2)

1. Vascular pedicle injury
2. Shattered kidney

14

What renal injuries require urgent surgery? (2)

1. Catastrophic
2. Uteropelvic junction avulsion

15

How do lacerations appear on US?

Linear defects that may extend through the kidney if fractured

16

What does hematomas vary in?

Echogenicity

17

What do renal injuries collect? (2)

1. Blood
2. Urine

18

WHat is subscapular hemorrhage?

Perirenal fluid collection

19

What does colour doppler aid in?

In assessment of vascular integrity

20

What is used to follow up in the critically ill renal injuries?

CECT

21

What are the complications of surgery for ureter injuries? (2)

1. Gynecological
- 70%
2. Urolological
- 30%

22

What are ureteral stents used for?

To allow ureter to heal

23

With is US useful for in ureter injuries?

To detect sizable fluid collections and hydronephrosis

24

What can a bladder injury be the result of? (3)

1. Blunt injury
2. Penetrating injury
3. Iatrogenic injury

25

What can bladder injuries result in?

Ruptures

26

What is US not useful in assessing?

Bladder injuries
- except to identify fluid collections

27

When are renal stents used?

For patients who have an obstruction of the kidney

28

What does a renal stent do?

It relieves the blockage

29

Where is the stent placed?

In the ureter between the kidney and the bladder

30

What can cause an obstruction of the renal stent? (4)

1. Stone
2. Fragment
3. Scarring
4. Tumor