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Difference between revisions of "End-stage kidney"
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{{ Infobox diagnosis | {{ Infobox diagnosis | ||
| Name = {{PAGENAME}} | | Name = {{PAGENAME}} | ||
| Image = | | Image = End-stage kidney - a -- intermed mag.jpg | ||
| Width = | | Width = | ||
| Caption = | | Caption = End-stage kidney with thyroidization. [[H&E stain]]. | ||
| Synonyms = | | Synonyms = | ||
| Micro = global sclerosis of the glomeruli, interstitial fibrosis, +/-thyroidization (colloid-like hyaline cast formation that impart an appearance that mimics the [[thyroid gland]]) | | Micro = global sclerosis of the glomeruli, interstitial fibrosis, +/-thyroidization (colloid-like hyaline cast formation that impart an appearance that mimics the [[thyroid gland]]) | ||
| Line 30: | Line 30: | ||
| Tx = | | Tx = | ||
}} | }} | ||
'''End-stage kidney''' is a non-functional [[kidney]]. | '''End-stage kidney''', abbreviated '''ESK''', is a non-functional (chronically damaged) [[kidney]]. | ||
'''End-stage renal disease''' | '''End-stage renal disease''' (abbreviated '''ESRD''') and '''end-stage kidney disease''' (abbreviated '''ESKD''') redirect here. | ||
==General== | ==General== | ||
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*+/-Thyroidization - colloid-like hyaline cast formation that impart an appearance that mimics the [[thyroid gland]]:<ref name=pmid19594588>{{Cite journal | last1 = Ito | first1 = S. | last2 = Kobayashi | first2 = A. | last3 = Tsuchiya | first3 = T. | last4 = Moriyama | first4 = Y. | last5 = Kikuchi | first5 = M. | last6 = Deguchi | first6 = T. | last7 = Yamaguchi | first7 = Y. | title = Thyroidization in renal allografts. | journal = Clin Transplant | volume = 23 Suppl 20 | issue = | pages = 6-9 | month = Aug | year = 2009 | doi = 10.1111/j.1399-0012.2009.01001.x | PMID = 19594588 }}</ref> | *+/-Thyroidization - colloid-like hyaline cast formation that impart an appearance that mimics the [[thyroid gland]]:<ref name=pmid19594588>{{Cite journal | last1 = Ito | first1 = S. | last2 = Kobayashi | first2 = A. | last3 = Tsuchiya | first3 = T. | last4 = Moriyama | first4 = Y. | last5 = Kikuchi | first5 = M. | last6 = Deguchi | first6 = T. | last7 = Yamaguchi | first7 = Y. | title = Thyroidization in renal allografts. | journal = Clin Transplant | volume = 23 Suppl 20 | issue = | pages = 6-9 | month = Aug | year = 2009 | doi = 10.1111/j.1399-0012.2009.01001.x | PMID = 19594588 }}</ref> | ||
**Typical of [[chronic pyelonephritis]] and obstructive nephropathy. | **Typical of [[chronic pyelonephritis]] and obstructive nephropathy. | ||
*+/-[[Interstitial nephritis]]. | |||
*+/-[[Pyelonephritis]]. | |||
Note: | Note: | ||
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DDx: | DDx: | ||
*[[Diabetic nephropathy]]. | *[[Diabetic nephropathy]] - most common cause of ESRD in North America, may have vague nodularity. | ||
*Other | *[[Chronic pyelonephritis]] - commonly associated with ESRD. | ||
*[[Renal papillary adenoma]] - common incidental finding. | |||
*[[Acquired cystic disease of the kidney]] - seen in ESRD, may be an concurrent pathology. | |||
*Other causes of end-stage renal disease. | |||
=== | ===Images=== | ||
www: | www: | ||
*[http://library.med.utah.edu/WebPath/RENAHTML/RENAL108.html Thyroidization of the kidney (utah.edu)]. | *[http://library.med.utah.edu/WebPath/RENAHTML/RENAL108.html Thyroidization of the kidney (utah.edu)]. | ||
====Case 1==== | |||
<gallery> | |||
Image: End-stage kidney - a -- low mag.jpg | ESK - low mag. (WC) | |||
Image: End-stage kidney - a -- intermed mag.jpg | ESK - intermed. mag. (WC) | |||
Image: End-stage kidney - b -- low mag.jpg | ESK - low mag. (WC) | |||
Image: End-stage kidney - b -- intermed mag.jpg | ESK - intermed. mag. (WC) | |||
Image: End-stage kidney - c -- intermed mag.jpg | ESK - intermed. mag. (WC) | |||
Image: End-stage kidney - c -- high mag.jpg | ESK - high mag. (WC) | |||
</gallery> | |||
====Case 2==== | |||
<gallery> | |||
Image: Thyroidization of the kidney -- low mag.jpg | TK - low mag. | |||
Image: Thyroidization of the kidney -- intermed mag.jpg | TK - intermed. mag. | |||
Image: Thyroidization of the kidney -- high mag.jpg | TK - high mag. | |||
Image: Thyroidization of the kidney -- very high mag.jpg | TK - very high mag. | |||
Image: Thyroidization of the kidney - alt -- very high mag.jpg | TK - very high mag. | |||
</gallery> | |||
==Sign out== | |||
<pre> | |||
Right Kidney, Nephrectomy: | |||
- End-stage kidney with predominantly obsolete glomeruli, thyroidization and | |||
chronic interstitial inflammation. | |||
- Minimal chronic inflammation of renal pelvis and ureter. | |||
- NEGATIVE for malignancy. | |||
</pre> | |||
===Block letters=== | |||
<pre> | |||
KIDNEY, LEFT, NEPHRECTOMY: | |||
- END-STAGE KIDNEY WITH MULTIPLE ABSCESSES ASSOCIATED WITH GIANT CELLS | |||
AND HISTIOCYTIC RESPONSE. | |||
- CHRONIC PYELONEPHRITIS AND INTERSTITIAL NEPHRITIS. | |||
- ATHEROSCLEROSIS, MILD-TO-MODERATE. | |||
- NEGATIVE FOR MALIGNANCY. | |||
</pre> | |||
==See also== | ==See also== | ||
*[[Medical kidney diseases]]. | *[[Medical kidney diseases]]. | ||
*[[Kidney]]. | |||
*[[Acquired cystic disease-associated renal cell carcinoma]]. | |||
==References== | ==References== | ||