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Autosomal Dominant "Adult" Polycystic Kidney Disease (ADPKD). Family Hx revealed PT's father with history of HTN, RF, and subarachnoid hemmorhage.

Harshany MLH - MedPix

View Article: MedPix Image - MedPix Case

Affiliation: Brooke Army Medical Center

ABSTRACT

Diagnosis: Autosomal Dominant "Adult" Polycystic Kidney Disease (ADPKD). Family Hx revealed PT's father with history of HTN, RF, and subarachnoid hemmorhage.

History: 41 y/o black male presented to the ER with atypical chest pain.

Findings: Multiple, bilateral, cystic lesions are present on non-contrast MR. Cysts do not enhance with contrast on MR. 3D MRA demonstrates the distribution of cysts. There are no cystic lesions in the surrounding tissues or organs.

Ddx: 1. Renal cysts 2. Acquired polycystic disease 3. Autosomal recessive polycystic kidney disease 4. Medullary kidney disorders -medullary sponge kidney -medullary cystic kidney

Exam: Vitals demonstrates hypertension (>190/>110) without laboratory evidence of end-organ damage (i.e., hypertensive urgency). PE is normal with non-focal neurologic exam. BUN - 17 Creatinine - 1.2

No MeSH data available.


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Autosomal Dominant "Adult" Polycystic Kidney Disease (ADPKD). Family Hx revealed PT's father with history of HTN, RF, and subarachnoid hemmorhage.

Harshany MLH - MedPix

© Copyright Policy - open-access
Related In: Results  -  Collection

License
Show All Figures
getmorefigures.php?uid=MPX1996&req=5

View Article: MedPix Image - MedPix Case

Affiliation: Brooke Army Medical Center

ABSTRACT

Diagnosis: Autosomal Dominant "Adult" Polycystic Kidney Disease (ADPKD). Family Hx revealed PT's father with history of HTN, RF, and subarachnoid hemmorhage.

History: 41 y/o black male presented to the ER with atypical chest pain.

Findings: Multiple, bilateral, cystic lesions are present on non-contrast MR. Cysts do not enhance with contrast on MR. 3D MRA demonstrates the distribution of cysts. There are no cystic lesions in the surrounding tissues or organs.

Ddx: 1. Renal cysts 2. Acquired polycystic disease 3. Autosomal recessive polycystic kidney disease 4. Medullary kidney disorders -medullary sponge kidney -medullary cystic kidney

Exam: Vitals demonstrates hypertension (>190/>110) without laboratory evidence of end-organ damage (i.e., hypertensive urgency). PE is normal with non-focal neurologic exam. BUN - 17 Creatinine - 1.2

No MeSH data available.