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3 Cards in this Set
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- Back
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autosomal recessive PKD
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often at birth or prenatal
many die during infancy perinatally: see oligohydramnios, large echogenic kidneys hypertension, liver involvement, progressive renal failure decreased ability to concentrate urine, hyponatremia, metabolic acidosis |
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autosomal dominant PKD
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presents in 20s to 50s
complete prenetrance, but variable in expressuion more common than auto recessive PKD PKD1 - Chr 16, more severe, more common PKD2 - Chr 4, longer survival CT is gold standard see lots of cysts which can be palpated hematuria, nephrolithiasis, flank pain, infection, renal failure hypertension can -> cerebral aneurysm, hepatic cysts (often women, estrogen), valve disease defect is in collagen component |
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T/F cyst aspiration is important for treatment of PKD
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false - doesnt do anything, they just come back
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