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]])
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| 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''', abbreviated '''ESRD''', redirects here.
'''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 cause of end-stage renal disease.
*[[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.
   
   
===Image===
===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==
48,536

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