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Kidney
Diagnostic Medical Sonography
103
Medical
Not Applicable
10/23/2011

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Term
retroperitoneal
Definition
the kindey is a ? organ
Term
true capsule, perirenal fat, gerota's fascia
Definition
what are the three layers of protection for the kidney
Term
true capsule
Definition
what is the most inner layer of the kidney that is used for protection and surrounds the renal cortex
Term
perirenal fat
Definition
what layer surrounds the true capsule
Term
perirenal fat
Definition
the adrenal glands are separated from the kidney by which protection layer
Term
Gerota's fascia
Definition
what layer encloses both the adrenal gland and kidney
Term
less, low
Definition
the cortex is slightly ? echogenic than the normal liver -- has ? level echoes
Term
meduallary pyramids
Definition
triangular, hypoechoic area between the cortex and sinus
Term
columns of Bertin
Definition
Pyramids are separated from each other by ?
Term
renal sinus
Definition
inner echogenic region of the kidney
Term
renal pelvis
Definition
superior end of the ureter is expanded and forms a funnel-shaped sac
Term
sinus
Definition
the renal pelvis is located within the renal ?
Term
renal papilla
Definition
the apex of the medullary pyramid is called ?
Term
pregnany in the right kidney
Definition
maternal pyelocaliectasis occurs when and in which kindey?
Term
-maintain salt/water balance
-regulate the fluid volume
-maintain acid/base balanace
-BP
Definition
function of the kidney
Term
serum creatinine
Definition
lab value that is elevated with renal dysfunction and occurs when the functioning unit (nephron) is destroyed
Term
BUN
Definition
lab value that is elevated whtn there is acute/chronic renal disease or urinary obstruction. Decrease may occur with overhydration, liver failure, or pregnancy
Term
low
Definition
What happens to the BUN when you are overhydrated or pregnant
Term
duplex ureter
Definition
one of the most common anomalies is ?
Term
ectopic kidney
Definition
when the kindey is not within the renal fossa
Term
pelvic kidney
Definition
when the kidney fails to ascend out of the pelvis
Term
horseshoe kidney
Definition
the most common form of fusion anomaly
Term
lower pole
Definition
what pole does horseshoe kideny usually affect?
Term
solitary kidney
Definition
single functioning kidney with the ipsilateral atrophied kidney
Term
unilateral renal agenesis
Definition
absence of one kidney + ureter
Term
supranumary kidney
Definition
duplication of the kidney, pelvis, and ureter
Term
nonsustainable
Definition
bilateral renal agenesis is ? to life
Term
hypertrophied column of Bertin
Definition
prominent cortical tissue int he medulla <3cm
Term
fetal lobulation
Definition
lobulated renal surface
Term
dromedary hump
Definition
bulge of cortical tissue on the lateral aspect of the L kidney
Term
autosomal recessive/Potter Type 1
Definition
infantile PKD is known as ? ? PKD
Term
IPKD
Definition
what is the least common but most fatal PKD that occurs more in females?
Term
IPKD
Definition
bilateral enlarged echogenic kidneys with cysts
Term
autosomal dominant, Potter Type III
Definition
Adult PKD is also known as ?? PKD
Term
APKD
Definition
present with decreasing renal function, hypertension, flank pain, bilateral enlarged kidney with cortical cysts and lose shape
Term
autosomal recessive
Definition
juvenile onset of PKD is ?
Term
autosomal dominant
Definition
Adult onset of PKD is?
Term
renal obstruction
Definition
absence of renal jet and an RI < 0.7 will confirm the diagnosis of?
Term
intrinsic hydronephrosis
Definition
stricture, renal caliculi, blood clot, ureterocele are all causes of ?
Term
extrinisic hydronephrosis
Definition
pregnancy, bladder neck obstruction, trauma, pelbic masses are all characteristic of ?
Term
false-positive hydronephrosis
Definition
test result positive when not true -- occurs due to overdistended bladder, parapelvic cyst
Term
false-negative hydronephrosis
Definition
test worngly excludes hydroneohrosis and is caused by dehydration or intermittent obstruction
Term
nephrolithiasis
Definition
renal caliculi
Term
men
Definition
are men or women more prone to nephrolithiasis
Term
nephrolithiasis
Definition
twinkle sign is associated with what?
Term
staghorn calculus
Definition
large stones located in the central portion of the kidney, collecting system, and takes shape of calyces
Term
simple cyst
Definition
seen in 50% of patients over 55
Term
parapelvic cyst
Definition
cyst that originates in the ranal parenchyma and is seen in the renal hilum -- possible hypertension and pain
Term
inflammatory cyst
Definition
simple cyst that becomes infected, increase in leukocytes, pain
Term
hemorrhagic cyst
Definition
6% of cysts will do this, increase incidence in PKD, complex echoes
Term
calcified cysts
Definition
2% of all renal cysts will do this, echogenic foci, bright walls attenuate sound
Term
renal abscess (carbuncle)
Definition
fever, chills flank pain, increased WBCC, complex echoes, walls thick/irregular, dirty shadow
Term
intrinsic hydronephrosis
Definition
obstruction within the collecting system by a stone or stricture
Term
extrinsic hydronephrosis
Definition
obstruction by a mass compressing teh ureter or bladder outlet
Term
Grade 1 Hydro
Definition
calices, infundibula, and renal pelvis dilated due to obstruction of urine flow
Term
Grade 2 Hydro
Definition
Dilation of collecting system with thinning of parenchyma
Term
Grade 3 Hydro
Definition
huge anechoic collectig system with lose of shape and very little parenchyma
Term
angiomyolipoma (renal hamatoma)
Definition
tumor composed of fat, muscle, blood vessels
Term
angiomyolipoma (renal hamatoma)
Definition
more common in women with flank pain, hematuria, hypertension, hichly echogeinc mass in cortex
Term
cortex
Definition
angiomyolipoma (renal hamatoma) are found where in the kidney
Term
Adenoma
Definition
benign, asymptomatic, painless hematuria, found in cortex
Term
hypernephroma, adenocarcinoma, RCC
Definition
Von Grawitz tumor
Term
RCC
Definition
affects males after 50, hematuria, increased vascular supply, mets to bone heart and brain
Term
RCC
Definition
unilateral, solitary, encapsulated, mets common
Term
Transitional cell carcinoma
Definition
occurs in renal pelvis, painless hematuria, invasive tumor not well defined
Term
Renal lymphoma
Definition
malignant solid mass with low lever internal echoes, increased through transmission
Term
Wilms Tumor (nephroblastoma)
Definition
most common malignancy of renal orgin in kids
Term
Wilms Tumor (nephroblastoma)
Definition
abdominal mass, hypertension, nausea, hematuria, early encapsulated
Term
increaed BUN and Creatinine
Definition
lab values of chronic obstruction
Term
no specifc lab values
Definition
lab values in acute obstruction
Term
increased BUN and creatinine
Definition
renal failure lab values
Term
nephrosclerosis
Definition
arteriosclerosis of the renal arteries, resulting in ischemia of kidneys -- dev's rapidly with severe hypertension
Term
infaction
Definition
occlusion or stenosis of RA
Term
renal artery stenosis
Definition
any narrowing of the RA will afffect the blood flow to kidney, resulting in atrophy and decreased renal function
Term
congestive heart failure CHF
Definition
renal hypo-perfusion
Term
thrombosis
Definition
? will increase the intravascular pressure and decrease blood flow to kidney
Term
Acute tubular necrosis (ATN)
Definition
most common cause of acute renal failure
Term
pyelonephritis
Definition
infection is the most common disease of the urinary tract. Bacteria ascending from the urinary bladder or lymph nodes to kideny usually cuases infection
Term
glomerulonephritis
Definition
frequently follows other infections
Term
diabetes mellitus, amyloidosis, gout, and nephrocalcinosis
Definition
metabolic disorders associated with renal failure
Term
increase
Definition
what happens to the ehcogenicity when you go from acute to chronic renal failure
Term
normal/enlarged
Definition
acute renal failure the kindey is of what size
Term
decrease defintion
Definition
what happens to the medullary/cortical junction in acute renal failure
Term
small
Definition
chronic renal failure has what size kidneys
Term
Type 1 Renal Medical Disease (RMD)
Definition
increased cortical (cortex) echogenicity caused by glomerular infiltrate
Term
Type 2 Renal Medical Disease
Definition
distortion of normal anatomy involving cortex and meduallary pyramids, focal lesions (cyst, abscess, hematoma, PKD)
Term
iliac fossa
Definition
transplanted kidney is placed within the ?
Term
48 hrs post op
Definition
a baseline sonogram is performed w/in ? hrs post op to evaluate size, shape
Term
renal failure
Definition
the most serious sign of transplant rejection
Term
fever, pain decreased urine output
Definition
clinical signs of renal rejection
Term
increased BUN and Creatinine
Definition
lab resultes from transplant renal failure
Term
acute rejection
Definition
enlarged kidney with increased cortical echoes, decreased renal sinus echoes, irregular sonolucent areas in cortex, enlarged/decreased echoes of pyramids, distortion of renal outline
Term
perinephric
Definition
common fluid collections associated with transplanted kidneys are lymphocele, urinoma, abscess and hematoma -- ? fluid collections
Term
renal carbuncle
Definition
confluence of several small abscesses
Term
abscess (renal carbuncle)
Definition
perinephric fluid collection associated with flank pain, high WBCC, fever, echogenic with irregular thick walls, shadow within caused by gas
Term
hematoma
Definition
perinephric fluid collection associated with drop in hematocrit
Term
urinoma
Definition
perinephric fluid collection associated with an encapsulated collection of urine, anechoic
Term
lymphocele
Definition
perinephric fluid collection associated with collection of lymphatic fluid, anechoic
Term
acute pyelonephritis
Definition
renal medical disease associted with dysuria, 90% females, frequent urination, fever, leukocytosis, enlarged kidneys, enlarged corticomedullary area with decreased echoegenicity and loss of definition btw the cortex and medulla
Term
chronic pyelonephritis
Definition
renal medical disease associted with recurrent UTI's, males/females, proteinura, small kidneys, parenchymal thinning, increased echoes due to fibrosis
Term
glomerulonephritis
Definition
renal medical disease associted with immunological reaction in which antigen-antibody complexes in the circulation are trapped in glomeruli
Term
glomerulonephritis
Definition
most common cause of renal failure
Term
ATN
Definition
decreased blood flow to and from kidney, most common cause of acute renal failure may result from ischemia, enlarged kidney in AP diameter, normal parenchyma, pyramids more prominant
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