Difference between revisions of "Medical kidney diseases"

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=Disease that does not commonly get biopsied=
=Disease that does not commonly get biopsied=
==End-stage kidney==
==End-stage kidney==
===General===
{{Main|End-stage kidney}}
*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.<ref name=pmid20030823>{{Cite journal  | last1 = Glodny | first1 = B. | last2 = Unterholzner | first2 = V. | last3 = Taferner | first3 = B. | last4 = Hofmann | first4 = KJ. | last5 = Rehder | first5 = P. | last6 = Strasak | first6 = A. | last7 = Petersen | first7 = J. | title = Normal kidney size and its influencing factors - a 64-slice MDCT study of 1.040 asymptomatic patients. | journal = BMC Urol | volume = 9 | issue =  | pages = 19 | month =  | year = 2009 | doi = 10.1186/1471-2490-9-19 | PMID = 20030823 | URL = http://www.biomedcentral.com/1471-2490/9/19 }}</ref>
 
===Microscopic===
Features:
*Global sclerosis of the glomeruli.
*Interstitial fibrosis.
*+/-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.
Image:
*[http://library.med.utah.edu/WebPath/RENAHTML/RENAL108.html Thyroidization of the kidney (utah.edu)].


==Malignant hypertension==
==Malignant hypertension==
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