Diabetic nephropathy echocardiography or ultrasound: Difference between revisions
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{{Diabetic nephropathy}} | {{Diabetic nephropathy}} | ||
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==Overview== | |||
== | The diagnosis of diabetic nephropathy is based on history, physical examination and laboratory investigations. Renal imaging, such as [[ultrasound]], is often done to rule out other [[kidney]] and [[urinary tract]] pathologies. However, the [[ultrasound]] findings in diabetic nephropathy are highly non-specific and may be normal. Some of the findings in [[chronic kidney disease]] due to diabetic nephropathy or other causes include: reduced [[renal]] length, reduced [[renal]] cortical thickness, increased [[renal]] cortical echogenicity, poor visibility of the [[renal]] pyramids and the [[renal]] sinus, marginal irregularities, papillary calcifications. | ||
==Ultrasound== | |||
The diagnosis of diabetic nephropathy is based on history, physical examination and laboratory investigations. Renal imaging, such as [[ultrasound]], is often done to rule out other [[kidney]] and [[urinary tract]] pathologies. However, the [[ultrasound]] findings in diabetic nephropathy are highly non-specific and may be normal. Some of the findings in [[chronic kidney disease]] due to diabetic nephropathy or other causes include:<ref name="CKD US">Chronic Kidney Disease https://radiopaedia.org/articles/chronic-kidney-disease Accessed on Dec 1st, 2016</ref><ref name="pmid27170301">{{cite journal |vauthors=Meola M, Samoni S, Petrucci I |title=Imaging in Chronic Kidney Disease |journal=Contrib Nephrol |volume=188 |issue= |pages=69–80 |year=2016 |pmid=27170301 |doi=10.1159/000445469 |url=}}</ref><ref name="pmid25680325">{{cite journal |vauthors=Degrassi F, Quaia E, Martingano P, Cavallaro M, Cova MA |title=Imaging of haemodialysis: renal and extrarenal findings |journal=Insights Imaging |volume=6 |issue=3 |pages=309–21 |year=2015 |pmid=25680325 |pmc=4444797 |doi=10.1007/s13244-015-0383-3 |url=}}</ref> | |||
*Reduced [[renal]] length | |||
*Reduced [[renal]] cortical thickness | |||
*Increased [[renal]] cortical echogenicity | |||
*Poor visibility of the [[renal]] pyramids and the [[renal]] sinus | |||
*Marginal irregularities | |||
*Papillary calcifications | |||
== | ==Doppler Ultrasound== | ||
Some of the findings on [[doppler ultrasound]] in [[chronic kidney disease include]]:<ref name="CKD US">Chronic Kidney Disease https://radiopaedia.org/articles/chronic-kidney-disease Accessed on Dec 1st, 2016</ref><ref name="pmid27170301">{{cite journal |vauthors=Meola M, Samoni S, Petrucci I |title=Imaging in Chronic Kidney Disease |journal=Contrib Nephrol |volume=188 |issue= |pages=69–80 |year=2016 |pmid=27170301 |doi=10.1159/000445469 |url=}}</ref><ref name="pmid25680325">{{cite journal |vauthors=Degrassi F, Quaia E, Martingano P, Cavallaro M, Cova MA |title=Imaging of haemodialysis: renal and extrarenal findings |journal=Insights Imaging |volume=6 |issue=3 |pages=309–21 |year=2015 |pmid=25680325 |pmc=4444797 |doi=10.1007/s13244-015-0383-3 |url=}}</ref> | |||
*Reduced renal vascularity | |||
*Increased resistance index (RI) values (segmental and interlobular arteries) | |||
==References== | ==References== | ||
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{{WH}} | {{WH}} | ||
{{WS}} | {{WS}} | ||
Latest revision as of 17:08, 18 July 2018
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Editor-In-Chief: C. Michael Gibson, M.S., M.D. [1]; Associate Editor(s)-in-Chief: Dima Nimri, M.D. [2]
Overview
The diagnosis of diabetic nephropathy is based on history, physical examination and laboratory investigations. Renal imaging, such as ultrasound, is often done to rule out other kidney and urinary tract pathologies. However, the ultrasound findings in diabetic nephropathy are highly non-specific and may be normal. Some of the findings in chronic kidney disease due to diabetic nephropathy or other causes include: reduced renal length, reduced renal cortical thickness, increased renal cortical echogenicity, poor visibility of the renal pyramids and the renal sinus, marginal irregularities, papillary calcifications.
Ultrasound
The diagnosis of diabetic nephropathy is based on history, physical examination and laboratory investigations. Renal imaging, such as ultrasound, is often done to rule out other kidney and urinary tract pathologies. However, the ultrasound findings in diabetic nephropathy are highly non-specific and may be normal. Some of the findings in chronic kidney disease due to diabetic nephropathy or other causes include:[1][2][3]
- Reduced renal length
- Reduced renal cortical thickness
- Increased renal cortical echogenicity
- Poor visibility of the renal pyramids and the renal sinus
- Marginal irregularities
- Papillary calcifications
Doppler Ultrasound
Some of the findings on doppler ultrasound in chronic kidney disease include:[1][2][3]
- Reduced renal vascularity
- Increased resistance index (RI) values (segmental and interlobular arteries)
References
- ↑ 1.0 1.1 Chronic Kidney Disease https://radiopaedia.org/articles/chronic-kidney-disease Accessed on Dec 1st, 2016
- ↑ 2.0 2.1 Meola M, Samoni S, Petrucci I (2016). "Imaging in Chronic Kidney Disease". Contrib Nephrol. 188: 69–80. doi:10.1159/000445469. PMID 27170301.
- ↑ 3.0 3.1 Degrassi F, Quaia E, Martingano P, Cavallaro M, Cova MA (2015). "Imaging of haemodialysis: renal and extrarenal findings". Insights Imaging. 6 (3): 309–21. doi:10.1007/s13244-015-0383-3. PMC 4444797. PMID 25680325.