Difference between revisions of "End-stage kidney"
Jump to navigation
Jump to search
Line 1: | Line 1: | ||
'''End-stage kidney''' is a non-functional [[kidney]]. | {{ Infobox diagnosis | ||
| Name = {{PAGENAME}} | |||
| Image = | |||
| Width = | |||
| Caption = | |||
| Synonyms = | |||
| Micro = | |||
| Subtypes = | |||
| LMDDx = | |||
| Stains = | |||
| IHC = | |||
| EM = | |||
| Molecular = | |||
| IF = | |||
| Gross = | |||
| Grossing = | |||
| Site = [[kidney]] - see ''[[medical kidney diseases]]'' | |||
| Assdx = [[chronic pyelonephritis]], [[acquired cystic disease-associated renal cell carcinoma]], [[papillary renal cell carcinoma]], [[acquired cystic kidney disease]] | |||
| Syndromes = | |||
| Clinicalhx = +/-[[diabetes mellitus]] (most common) | |||
| Signs = | |||
| Symptoms = | |||
| Prevalence = | |||
| Bloodwork = | |||
| Rads = | |||
| Endoscopy = | |||
| Prognosis = | |||
| Other = | |||
| ClinDDx = | |||
| Tx = | |||
}} | |||
'''End-stage kidney''' is a non-functional [[kidney]]. '''End-stage renal disease''', abbreviated '''ESRD''', redirect here. | |||
==General== | ==General== |
Revision as of 01:14, 12 January 2014
End-stage kidney | |
---|---|
Diagnosis in short | |
Site | kidney - see medical kidney diseases |
| |
Associated Dx | chronic pyelonephritis, acquired cystic disease-associated renal cell carcinoma, papillary renal cell carcinoma, acquired cystic kidney disease |
Clinical history | +/-diabetes mellitus (most common) |
End-stage kidney is a non-functional kidney. End-stage renal disease, abbreviated ESRD, redirect here.
General
- Many end-stage renal disease (ESRD) kidneys have a similar appearance.
- Notable exception: polycystic kidney diseases have distinctive appearance, e.g. ADPKD.
Gross
- Small kidneys.
- Thinned renal cortex.
- +/-Dilated renal calyces.
- +/-Cysts.
Note:
- Normal (adult) kidneys are ~11 cm from pole-to-pole.[1]
Microscopic
Features:
- Global sclerosis of the glomeruli.
- Interstitial fibrosis.
- +/-Thyroidization - colloid-like hyaline cast formation that impart an appearance that mimics the thyroid gland:[2]
- Typical of chronic pyelonephritis and obstructive nephropathy.
Image:
See also
References
- ↑ Glodny, B.; Unterholzner, V.; Taferner, B.; Hofmann, KJ.; Rehder, P.; Strasak, A.; Petersen, J. (2009). "Normal kidney size and its influencing factors - a 64-slice MDCT study of 1.040 asymptomatic patients.". BMC Urol 9: 19. doi:10.1186/1471-2490-9-19. PMID 20030823.
- ↑ Ito, S.; Kobayashi, A.; Tsuchiya, T.; Moriyama, Y.; Kikuchi, M.; Deguchi, T.; Yamaguchi, Y. (Aug 2009). "Thyroidization in renal allografts.". Clin Transplant 23 Suppl 20: 6-9. doi:10.1111/j.1399-0012.2009.01001.x. PMID 19594588.