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Pathology of Urinary Tract
urinary system, disease, ultrasound, Rumack
40
Medical
Not Applicable
11/09/2010

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Cards

Term
pathology with prevalence in men
Definition
TCC (4:1)
squamous cell carcinoma (3:1)
renal agenesis (3:1)
nephrolithiasis (3:1)
UPJ obstruction (2:1)
urachal anomalies (2:1)
RCC (2:1)
Oncocytoma (1.7:1)
Term
pathology with prevalence in women
Definition
emphysematous pyelonephritis (2:1)
bladder lymphoma
angiomyolipoma
cystitis
chronic pyelonephritis
acute pyelonephritis
xanthogranulomatous pyelonephritis
Term
congenital anomalies
Definition
ectopic kidney
crossed-renal ectopia
horseshoe kidney
renal agenesis
supernumerary kidney
duplex collecting system
ureterocele
UPJ obstruction
bladder agenesis
bladder duplication
urachal anomalies
Term
renal ectopia
Definition
kidneys fail to migrate to normal position
Term
crossed-renal ectopia
Definition
both kidneys are found on the same side of the body due to improper rotation
Term
horseshoe kidney
Definition
sonographic appearance: kidneys are typically lower than normal, with the lower poles projecting medially; transverse imaging shows isthmus crossing the midline, anterior to the great vessels
Term
complete duplication of collecting system
Definition
2 separate ureters each with their own ureteral orifice
Term
incomplete duplication of collecting system
Definition
2 ureters join and enter the bladder through a single ureteral orifice
Term
duplication of collecting system
Definition
most common congenital anomaly of the urinary tract
Term
ureterocele
Definition
round, cyst-like structure within the bladder (UVJ) with candle sign – low, continuous ureteral jet
Term
exstrophy
Definition
200x more likely to develop bladder carcinoma (90% adenocarcinoma)
Term
patent urachus
Definition
(50%) - complete patency of urachus
Term
urachal cyst
Definition
(30%) - urachus is closed at the umbilicus and bladder, but patent in between, typically in the lower 1/3 of urachus
Term
urachal sinus
Definition
(15%) - urachus is closed at the bladder, but patent at the umbilicus
Term
urachal diverticulum
Definition
(5%) - urachus is closed at the umbilicus, but patent at the bladder
Term
focal acute nephritis
Definition
focal wedge-shaped areas with mixed echogenicity (aka lobar nephronia)
Term
pyonephrosis
Definition
sonographic appearance: mobile hyperechoic debris in a dilated renal collecting system
potentially fatal from bacteremia or septic shock
Term
xanthogranulomatous pyelonephritis
Definition
associations: nephrolithiasis (70%) and obstructive nephropathy
sonographic appearance: staghorn calculi
Term
causes of bladder wall thickening
Definition
under-distention
infection
tumor
neurogenic bladder
bladder outlet obstruction
cystitis
bladder calculi
TCC
Term
nephrolithiasis
Definition
prevalence: very common, 12% of population; increases with age; white men
sonographic appearance: echogenic foci with sharp distal shadowing
Term
ureter calculi
Definition
sonographic appearance: dilated ureter – distal 3cm seen as tubular hypoechoic structure entering bladder obliquely; Doppler “twinkling artifact”
Term
nephrocalcinosis
Definition
cause: disorders of calcium metabolism (hypercalcemia and hypercalciuria) may result in formation of renal stones and deposition of calcium salts in the renal parenchyma
symptoms: possible fever
sonographic appearance: increased cortical or pyramid echogenicity with possible shadowing
Term
malignant neoplasms
Definition
HYPERNEPHROMA
TCC
SQUAMOUS CELL CARCINOMA
LYMPHOMA
ADENOCARCINOMA
ONCOCYTOMA
METASTASES
Term
RCC
Definition
most common solid renal mass in adults
2:1 men
50-70yrs
Term
transitional cell carcinoma
Definition
most common neoplasm of bladder; 50x more common than renal pelvis TCC; most common malignant tumor of urothelium
Term
squamous cell carcinoma
Definition
second most common malignant tumor of urothelium
Term
oncocytoma
Definition
1.7:1 men
resemble spoke – wheel patterns of enhancement with a central scar
Term
primary sites for renal metastases
Definition
1.lung
2.breast
3.contralateral kidney (RCC)
Term
simple cortical cysts
Definition
common; 50% of people over 50
Term
parapelvic cysts
Definition
cortical cysts that bulge into the central sinus of the kidney, without collecting system communication
Term
medullary sponge kidneys
Definition
displastic cystic dilation of the medullary pyramids
prevalence: 12% of patients with renal stones; 3rd - 4th decades
Term
Potter III
Definition
enlarged kidneys with numerous bilateral cysts of varying size
progression: 50% have renal failure by age 60
Term
autosomal dominant poycistic kidney disease
Definition
most common hereditary renal disorder
Term
multicystic kidney disease
Definition
non-hereditary, typically unilateral disease causing a small malformed kidney with multiple cysts and little, if any, normal renal parenchyma
Term
acquired cystic kidney disease
Definition
90% of dialysis patients develop within 5 years
Term
von Hippel-Lindau
Definition
autosomal dominant gene disorder affecting several areas of the body
sonographic appearance: multiple bilateral renal cysts
progression: cysts can evolve into RCC
Term
tuberous sclerosis
Definition
genetic disease that causes tumor growth on organs (eyes, brain, lungs, skin), characterized by mental retardation, seizures, and sebaceous adenomas of the face
associations: increased renal cysts (angiomyolipoma, RCC)
Term
renal infarction
Definition
sonographic appearance: segmental/ focal - shows wedge-shaped mass
over time – echogenic mass/scar
chronic – end-stage small scarred kidney
Term
renal artery stenosis
Definition
major cause in adults is atherosclerosis in proximal segment (66%)
sonographic appearance: renal size asymmetry (involved kidney <9cm or more than 1.5-2cm size difference)
Term
acute tubular necrosis
Definition
most common cause of acute reversible renal failure
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