Hello all fellows ,
Today we talk about Polycystic kidney disease . There are two types of it.
Autosomal Dominent Polycystic kidney disease (ADPCKD)
Autosomal Recessive Polycystic kidney disease (ARPCKD)
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Pic: collected
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Clinical Symptoms :
- Asymptomatic most patients
- Hematuria ( Blood passing through urine )
- Pain on Flank ( infections, any cyst rupture, kidney stone, internal bleedings )
Clinical Signs :
- High Blood pressure (HTN)
- Proteinuria ( Protein passing through urine)
- Bilateral abdominal masses
- Chronic kidney/renal disease
Other Extrarenal features :
- Ventral and inguinal hernias
- Cardiac valves disorders ( Mitral valve prolapse, Aortic Regurgitation )
- Colonic diverticulosis
- Hepatic and pancreatic cyst
- Cerebral aneurysms
How to Diagnose:
*USG( Ultrasonogram mainly)
*CT scan( computed tomography), MRI (Magnetic resonance imaging )
shows multiple renal cysts
Treatment or Management :
- Continuous Blood pressure and renal function follow up.
- Hypertension control aggressively
- ACE inhibitors for high blood pressure
- In case of end-stage renal disease- Dialysis , renal transplant
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Until next time ……