Bladder cancer differential diagnosis: Difference between revisions
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__NOTOC__ | __NOTOC__ | ||
{{ | [[Image:Home_logo1.png|right|250px|link=https://www.wikidoc.org/index.php/Bladder_cancer]] | ||
{{ | {{CMG}}; {{AE}} {{SC}} | ||
==Overview== | ==Overview== | ||
Bladder cancer must be differentiated from [[renal cancer]], [[ | Bladder cancer must be differentiated from [[renal cancer]], [[renal stones]], [[prostate cancer]], and [[cystitis]]. | ||
==Differential Diagnosis== | ==Differential Diagnosis== | ||
Bladder cancer must be differentiated from: | The most common presentation of bladder cancer is hematuria; however in the advanced cases, the presentation can be bladder mass. | ||
* [[Renal cancer]] | |||
* [[ | '''Bladder cancer must be differentiated from other causes of hematuria as in the below table:''' | ||
* [[ | |||
* [[Urinary tract infection]] | {| | ||
* [[Urethral]] trauma | |- style="background: #4479BA; color: #FFFFFF; text-align: center;" | ||
! colspan="2" rowspan="5" |Diseases | |||
| colspan="9" rowspan="1" style="background: #4479BA; color: #FFFFFF; text-align: center;" |'''Clinical manifestations''' | |||
! colspan="2" rowspan="2" style="background: #4479BA; color: #FFFFFF; text-align: center;" |Para-clinical findings | |||
! rowspan="5" |'''Gold standard''' | |||
|- | |||
| colspan="6" rowspan="2" style="background: #4479BA; color: #FFFFFF; text-align: center;" |'''Symptoms''' | |||
! colspan="3" rowspan="2" style="background: #4479BA; color: #FFFFFF; text-align: center;" |Physical examina | |||
|- | |||
! rowspan="3" style="background: #4479BA; color: #FFFFFF; text-align: center;" |Lab Findings | |||
! rowspan="3" style="background: #4479BA; color: #FFFFFF; text-align: center;" |Diagnosi | |||
|- | |||
! rowspan="2" style="background: #4479BA; color: #FFFFFF; text-align: center;" |Low back pain | |||
! colspan="1" rowspan="2" style="background: #4479BA; color: #FFFFFF; text-align: center;" |Fever | |||
! rowspan="2" style="background: #4479BA; color: #FFFFFF; text-align: center;" |Nausea/ | |||
Vomiting | |||
! colspan="3" style="background: #4479BA; color: #FFFFFF; text-align: center;" |Urinary symptoms | |||
! rowspan="2" style="background: #4479BA; color: #FFFFFF; text-align: center;" |Hypertension | |||
! colspan="1" rowspan="2" style="background: #4479BA; color: #FFFFFF; text-align: center;" |Pitting edema | |||
! rowspan="2" style="background: #4479BA; color: #FFFFFF; text-align: center;" |Other | |||
|- | |||
! style="background: #4479BA; color: #FFFFFF; text-align: center;" |Dysuria | |||
! style="background: #4479BA; color: #FFFFFF; text-align: center;" |Frequency | |||
! style="background: #4479BA; color: #FFFFFF; text-align: center;" |Oliguria | |||
|- | |||
| rowspan="7" style="background: #DCDCDC; padding: 5px; text-align: center;" |[[Glomerular disease|Glomerular diseases]] | |||
| style="background: #DCDCDC; padding: 5px; text-align: center;" |[[IgA nephropathy|IgA nephropathy]]<ref name="pmid12213946">{{cite journal| author=Donadio JV, Grande JP| title=IgA nephropathy. | journal=N Engl J Med | year= 2002 | volume= 347 | issue= 10 | pages= 738-48 | pmid=12213946 | doi=10.1056/NEJMra020109 | pmc= | url=https://www.ncbi.nlm.nih.gov/entrez/eutils/elink.fcgi?dbfrom=pubmed&tool=sumsearch.org/cite&retmode=ref&cmd=prlinks&id=12213946 }}</ref><ref name="pmid21949093">{{cite journal| author=Suzuki H, Kiryluk K, Novak J, Moldoveanu Z, Herr AB, Renfrow MB et al.| title=The pathophysiology of IgA nephropathy. | journal=J Am Soc Nephrol | year= 2011 | volume= 22 | issue= 10 | pages= 1795-803 | pmid=21949093 | doi=10.1681/ASN.2011050464 | pmc= |url=http://www.ncbi.nlm.nih.gov/entrez/eutils/elink.fcgi?dbfrom=pubmed&tool=sumsearch.org/cite&retmode=ref&cmd=prlinks&id=21949093 }}</ref> [[IgA nephropathy|(Berger nephropathy)]] | |||
| style="background: #F5F5F5; padding: 5px;" | | |||
| style="background: #F5F5F5; padding: 5px;" | + | |||
| style="background: #F5F5F5; padding: 5px;" | - | |||
| style="background: #F5F5F5; padding: 5px;" | - | |||
| style="background: #F5F5F5; padding: 5px;" | - | |||
| style="background: #F5F5F5; padding: 5px;" | + | |||
| style="background: #F5F5F5; padding: 5px;" | + | |||
| style="background: #F5F5F5; padding: 5px;" | + | |||
| style="background: #F5F5F5; padding: 5px;" | - | |||
| style="background: #F5F5F5; padding: 5px;" | - | |||
| style="background: #F5F5F5; padding: 5px;" | '''Biopsy:''' | |||
[[IgA]] deposited in a diffuse [[Granular cell|granular]] pattern in the [[mesangium]] | |||
| style="background: #F5F5F5; padding: 5px;" |Biopsy | |||
* | |||
|- | |||
| style="background: #DCDCDC; padding: 5px; text-align: center;" |[[Alport syndrome|Hereditary nephritis]]<ref name="pmid11137428">{{cite journal| author=McCarthy PA, Maino DM| title=Alport syndrome: a review. | journal=Clin Eye Vis Care | year= 2000 | volume= 12 | issue= 3-4 | pages= 139-150 | pmid=11137428 | doi= | pmc= | url=http://www.ncbi.nlm.nih.gov/entrez/eutils/elink.fcgi?dbfrom=pubmed&tool=sumsearch.org/cite&retmode=ref&cmd=prlinks&id=11137428 }}</ref><ref name="pmid8154501">{{cite journal| author=Bodziak KA, Hammond WS, Molitoris BA| title=Inherited diseases of the glomerular basement membrane. | journal=Am J Kidney Dis | year= 1994 | volume= 23 | issue= 4 | pages= 605-18 | pmid=8154501 | doi= | pmc= | url=http://www.ncbi.nlm.nih.gov/entrez/eutils/elink.fcgi?dbfrom=pubmed&tool=sumsearch.org/cite&retmode=ref&cmd=prlinks&id=8154501 }}</ref> [[Alport syndrome|(Alport syndrome)]] | |||
| style="background: #F5F5F5; padding: 5px;" | - | |||
| style="background: #F5F5F5; padding: 5px;" | - | |||
| style="background: #F5F5F5; padding: 5px;" | - | |||
| style="background: #F5F5F5; padding: 5px;" | - | |||
| style="background: #F5F5F5; padding: 5px;" | - | |||
| style="background: #F5F5F5; padding: 5px;" | - | |||
| style="background: #F5F5F5; padding: 5px;" | + | |||
| style="background: #F5F5F5; padding: 5px;" | - | |||
| style="background: #F5F5F5; padding: 5px;" | | |||
* Cataract | |||
* Hearing loss | |||
| style="background: #F5F5F5; padding: 5px;" | | |||
* [[Pyuria]] | |||
* Red cell [[casts]] | |||
* Cylindrical [[casts]] | |||
| style="background: #F5F5F5; padding: 5px;" |'''Biopsy:''' | |||
* [[Monoclonal antibodies]] directed against alpha-3 (IV), alpha-4 (IV), and alpha-5 (IV) chains of [[Type-IV collagen|typ-e IV collage]]<nowiki/>n | |||
| style="background: #F5F5F5; padding: 5px;" |[[Genetics|Genetic]] analysis | |||
|- | |||
| style="background: #DCDCDC; padding: 5px; text-align: center;" |[[Post-streptococcal glomerulonephritis]]<ref name="pmid15213266">{{cite journal |vauthors=Yoshizawa N, Yamakami K, Fujino M, Oda T, Tamura K, Matsumoto K, Sugisaki T, Boyle MD |title=Nephritis-associated plasmin receptor and acute poststreptococcal glomerulonephritis: characterization of the antigen and associated immune response |journal=J. Am. Soc. Nephrol. |volume=15 |issue=7 |pages=1785–93 |date=July 2004 |pmid=15213266 |doi= |url=}}</ref><ref name="pmid20708459">{{cite journal |vauthors=Oda T, Yoshizawa N, Yamakami K, Tamura K, Kuroki A, Sugisaki T, Sawanobori E, Higashida K, Ohtomo Y, Hotta O, Kumagai H, Miura S |title=Localization of nephritis-associated plasmin receptor in acute poststreptococcal glomerulonephritis |journal=Hum. Pathol. |volume=41 |issue=9 |pages=1276–85 |date=September 2010 |pmid=20708459 |doi=10.1016/j.humpath.2010.02.006 |url=}}</ref> | |||
| style="background: #F5F5F5; padding: 5px;" | +/- | |||
| style="background: #F5F5F5; padding: 5px;" | + | |||
| style="background: #F5F5F5; padding: 5px;" | - | |||
| style="background: #F5F5F5; padding: 5px;" | - | |||
| style="background: #F5F5F5; padding: 5px;" | + | |||
| style="background: #F5F5F5; padding: 5px;" | + | |||
| style="background: #F5F5F5; padding: 5px;" | + | |||
| style="background: #F5F5F5; padding: 5px;" | + | |||
| style="background: #F5F5F5; padding: 5px;" | | |||
* [[Edema]] | |||
* [[Anemia]] | |||
* Increased [[Blood pressure|Blood Pressure]] | |||
| style="background: #F5F5F5; padding: 5px;" | | |||
* Urine samples for [[protein]] and [[blood]] | |||
| style="background: #F5F5F5; padding: 5px;" | | |||
'''Biopsy''' | |||
* Irregularly thin and attenuated [[GBM]] | |||
* Splitting of [[GBM]] | |||
* Scarring | |||
* [[Immunoglobulin G]] and [[C3 disease|C3]] in a diffuse [[Granule cell|granular]] pattern | |||
* Starry sky pattern | |||
| style="background: #F5F5F5; padding: 5px;" |Biopsy | |||
|- | |||
| style="background: #DCDCDC; padding: 5px; text-align: center;" |[[Focal segmental glomerulosclerosis|Focal segmental glomerular sclerosis]]<ref name="pmid18039119">{{cite journal| author=Kwoh C, Shannon MB, Miner JH, Shaw A| title=Pathogenesis of nonimmune glomerulopathies. | journal=Annu Rev Pathol | year= 2006 | volume= 1 | issue= | pages= 349-74 | pmid=18039119 | doi=10.1146/annurev.pathol.1.110304.100119 | pmc= | url=http://www.ncbi.nlm.nih.gov/entrez/eutils/elink.fcgi?dbfrom=pubmed&tool=sumsearch.org/cite&retmode=ref&cmd=prlinks&id=18039119 }}</ref><ref name="pmid17216262">{{cite journal |vauthors=Reidy K, Kaskel FJ |title=Pathophysiology of focal segmental glomerulosclerosis |journal=Pediatr. Nephrol. |volume=22 |issue=3 |pages=350–4 |date=March 2007 |pmid=17216262 |pmc=1794138 |doi=10.1007/s00467-006-0357-2 |url=}}</ref>'''<ref name="pmid14750104">{{cite journal| author=D'Agati VD, Fogo AB, Bruijn JA, Jennette JC| title=Pathologic classification of focal segmental glomerulosclerosis: a working proposal. | journal=Am J Kidney Dis | year= 2004| volume= 43 | issue= 2 | pages= 368-82 | pmid=14750104 | doi= | pmc= |url=http://www.ncbi.nlm.nih.gov/entrez/eutils/elink.fcgi?dbfrom=pubmed&tool=sumsearch.org/cite&retmode=ref&cmd=prlinks&id=14750104 }}</ref>''' | |||
| style="background: #F5F5F5; padding: 5px;" | - | |||
| style="background: #F5F5F5; padding: 5px;" | - | |||
| style="background: #F5F5F5; padding: 5px;" | - | |||
| style="background: #F5F5F5; padding: 5px;" | - | |||
| style="background: #F5F5F5; padding: 5px;" | - | |||
| style="background: #F5F5F5; padding: 5px;" | - | |||
| style="background: #F5F5F5; padding: 5px;" | + | |||
| style="background: #F5F5F5; padding: 5px;" | + | |||
| style="background: #F5F5F5; padding: 5px;" | | |||
* [[Nephrotic syndrome]] | |||
* [[ESRD]] | |||
* [[Pleural effusion]] | |||
* [[Ascites]] | |||
* [[Abdominal pain]] | |||
** | |||
| style="background: #F5F5F5; padding: 5px;" | | |||
* [[Urinalysis]] reveals large amounts of protein, along with [[hyaline]] and broad waxy casts | |||
* [[Hepatitis B]] or [[Hepatitis C|C]] infection | |||
* [[Anti-neutrophil cytoplasmic antibody]] titers, [[serum protein electrophoresis]] | |||
| style="background: #F5F5F5; padding: 5px;" |'''Biopsy''' | |||
* Segmental solidification in the perihilar region and peripheral areas, especially the [[tubular]] pole | |||
* Coarsely [[Granule cell|granular]] deposits -of [[Immunoglobulin M|IgM]] and [[C3 glomerular disease|C3]] | |||
| style="background: #F5F5F5; padding: 5px;" |Biopsy | |||
|- | |||
| style="background: #DCDCDC; padding: 5px; text-align: center;" |[[Rapidly progressive glomerulonephritis]]<ref name="pmid9507491">{{cite journal| author=Couser WG| title=Pathogenesis of glomerular damage in glomerulonephritis. | journal=Nephrol Dial Transplant | year= 1998 | volume= 13 Suppl 1 | issue= | pages= 10-5 | pmid=9507491 | doi= | pmc= | url=https://www.ncbi.nlm.nih.gov/entrez/eutils/elink.fcgi?dbfrom=pubmed&tool=sumsearch.org/cite&retmode=ref&cmd=prlinks&id=9507491 }}</ref><ref name="pmid8959617">{{cite journal| author=Atkins RC, Nikolic-Paterson DJ, Song Q, Lan HY| title=Modulators of crescentic glomerulonephritis. | journal=J Am Soc Nephrol | year= 1996 | volume= 7 | issue= 11 | pages= 2271-8 | pmid=8959617 | doi= | pmc= | url=https://www.ncbi.nlm.nih.gov/entrez/eutils/elink.fcgi?dbfrom=pubmed&tool=sumsearch.org/cite&retmode=ref&cmd=prlinks&id=8959617 }}</ref><ref name="pmid12631105">{{cite journal |vauthors=Jennette JC |title=Rapidly progressive crescentic glomerulonephritis |journal=Kidney Int. |volume=63 |issue=3 |pages=1164–77 |date=March 2003 |pmid=12631105 |doi=10.1046/j.1523-1755.2003.00843.x |url=}}</ref> | |||
| style="background: #F5F5F5; padding: 5px;" | + | |||
| style="background: #F5F5F5; padding: 5px;" | + | |||
| style="background: #F5F5F5; padding: 5px;" | + | |||
| style="background: #F5F5F5; padding: 5px;" | - | |||
| style="background: #F5F5F5; padding: 5px;" | - | |||
| style="background: #F5F5F5; padding: 5px;" | - | |||
| style="background: #F5F5F5; padding: 5px;" | + | |||
| style="background: #F5F5F5; padding: 5px;" | - | |||
| style="background: #F5F5F5; padding: 5px;" | | |||
* Abdominal pain | |||
* Painful cutaneous nodules | |||
* Migratory poly arthropathy | |||
* [[Rhinosinusitis|Sinusitis]] | |||
* [[Cough]] | |||
* [[Hemoptysis]]. | |||
| style="background: #F5F5F5; padding: 5px;" | | |||
* Low [[iron]] | |||
* [[Eosinophilia]] | |||
* Increased serum [[creatinine]] level | |||
* Eleated [[Lactate dehydrogenase|LDH]] and [[Creatine kinase|CPK]] | |||
* [[Proteinuria]] | |||
| style="background: #F5F5F5; padding: 5px;" | Biopsy: | |||
* Diffuse, proliferative, necrotizing [[Glomerular disease|glomerulonephritis]] with [[Glomerular disease|crescent]] formation | |||
| style="background: #F5F5F5; padding: 5px;" |Biopsy | |||
|- | |||
| style="background: #DCDCDC; padding: 5px; text-align: center;" |[[Lupus nephritis]]<ref name="pmid25014039">{{cite journal |vauthors=Schwartz N, Goilav B, Putterman C |title=The pathogenesis, diagnosis and treatment of lupus nephritis |journal=Curr Opin Rheumatol |volume=26 |issue=5 |pages=502–9 |date=September 2014 |pmid=25014039 |pmc=4221732 |doi=10.1097/BOR.0000000000000089 |url=}}</ref><ref name="pmid22977215">{{cite journal |vauthors=Giannico G, Fogo AB |title=Lupus nephritis: is the kidney biopsy currently necessary in the management of lupus nephritis? |journal=Clin J Am Soc Nephrol |volume=8 |issue=1 |pages=138–45 |year=2013 |pmid=22977215 |doi=10.2215/CJN.03400412 |url=}}</ref> | |||
| style="background: #F5F5F5; padding: 5px;" | - | |||
| style="background: #F5F5F5; padding: 5px;" | + | |||
| style="background: #F5F5F5; padding: 5px;" | - | |||
| style="background: #F5F5F5; padding: 5px;" | - | |||
| style="background: #F5F5F5; padding: 5px;" | - | |||
| style="background: #F5F5F5; padding: 5px;" | - | |||
| style="background: #F5F5F5; padding: 5px;" | + | |||
| style="background: #F5F5F5; padding: 5px;" | + | |||
| style="background: #F5F5F5; padding: 5px;" | | |||
* Foamy dark urine | |||
* Weight gain | |||
| style="background: #F5F5F5; padding: 5px;" | | |||
* [[Hematuria]] | |||
* [[Pyuria]] | |||
* [[Proteinuria]] | |||
* Cellular casts | |||
* Low [[iron]] | |||
| style="background: #F5F5F5; padding: 5px;" | Biopsy, | |||
* Different pathologies, [[Lupus nephritis|CLICK HERE]] for more information. | |||
| style="background: #F5F5F5; padding: 5px;" |Biopsy | |||
|- | |||
| style="background: #DCDCDC; padding: 5px; text-align: center;" |[[Fabry's disease|Fabry disease]] | |||
| style="background: #F5F5F5; padding: 5px;" | - | |||
| style="background: #F5F5F5; padding: 5px;" | - | |||
| style="background: #F5F5F5; padding: 5px;" | - | |||
| style="background: #F5F5F5; padding: 5px;" | - | |||
| style="background: #F5F5F5; padding: 5px;" | - | |||
| style="background: #F5F5F5; padding: 5px;" | - | |||
| style="background: #F5F5F5; padding: 5px;" | + | |||
| style="background: #F5F5F5; padding: 5px;" | + | |||
| style="background: #F5F5F5; padding: 5px;" | - | |||
| style="background: #F5F5F5; padding: 5px;" | | |||
* [[Hematuria]] | |||
* [[Proteinuria]] | |||
| style="background: #F5F5F5; padding: 5px;" | Biopsy | |||
| style="background: #F5F5F5; padding: 5px;" | Biopsy | |||
|- | |||
! colspan="2" style="background: #4479BA; color: #FFFFFF; text-align: center;" |Disease | |||
! style="background: #4479BA; color: #FFFFFF; text-align: center;" |Low back pain | |||
! style="background: #4479BA; color: #FFFFFF; text-align: center;" |Fever | |||
! style="background: #4479BA; color: #FFFFFF; text-align: center;" |Nausea/ | |||
Vomiting | |||
! style="background: #4479BA; color: #FFFFFF; text-align: center;" |Dysuria | |||
! style="background: #4479BA; color: #FFFFFF; text-align: center;" |Frequency | |||
! style="background: #4479BA; color: #FFFFFF; text-align: center;" |Oliguria | |||
! style="background: #4479BA; color: #FFFFFF; text-align: center;" |Hypertension | |||
! style="background: #4479BA; color: #FFFFFF; text-align: center;" |Pitting edema | |||
! style="background: #4479BA; color: #FFFFFF; text-align: center;" |Other | |||
! style="background: #4479BA; color: #FFFFFF; text-align: center;" |Lab Findings | |||
! style="background: #4479BA; color: #FFFFFF; text-align: center;" |Diagnosis method | |||
! style="background: #4479BA; color: #FFFFFF; text-align: center;" |Gold standard | |||
|- | |||
| colspan="2" style="background: #DCDCDC; padding: 5px; text-align: center;" |[[Tubulointerstitial diseases of the kidney|Tubulointerstitial diseases]]<ref name="BakerPusey2004">{{cite journal|last1=Baker|first1=R. J.|last2=Pusey|first2=C. D.|title=The changing profile of acute tubulointerstitial nephritis|journal=Nephrology Dialysis Transplantation|volume=19|issue=1|year=2004|pages=8–11|issn=0931-0509|doi=10.1093/ndt/gfg464}}</ref><ref>Kelly C, Tomaszewski J, Neilson E. Immunopathogenic mechanisms of tubulointerstitial injury. In: Tisher C, Brenner B, eds, Renal Pathology: With Clinical and Functional Correlations, 2nd Edn., Vol. 1. J. B. Lippincott & Co, Philadelphia, PA, 1994; 699–722</ref><ref>Dharmarajan TS, Yoo J, Russell RO, Boateng YA. Acute post streptococcal interstitial nephritis in an adult and review of the literature. Int Urol Nephrol 1999; 31:145</ref> | |||
| style="background: #F5F5F5; padding: 5px;" | + | |||
| style="background: #F5F5F5; padding: 5px;" | + | |||
| style="background: #F5F5F5; padding: 5px;" | + | |||
| style="background: #F5F5F5; padding: 5px;" |– | |||
| style="background: #F5F5F5; padding: 5px;" |– | |||
| style="background: #F5F5F5; padding: 5px;" |– | |||
| style="background: #F5F5F5; padding: 5px;" |– | |||
| style="background: #F5F5F5; padding: 5px;" |– | |||
| style="background: #F5F5F5; padding: 5px;" |Rash | |||
| style="background: #F5F5F5; padding: 5px;" | | |||
* [[Eosinophilia]] | |||
* [[Eosinophiluria]] | |||
* [[Isosthenuria]] | |||
| style="background: #F5F5F5; padding: 5px;" |Biopsy: | |||
* [[Edema]] and infiltration by [[Monocyte|mononuclear cells]], (principally lymphocytes) | |||
* [[Eosinophils]] are present, often in large numbers. | |||
| style="background: #F5F5F5; padding: 5px;" |Renal biopsy | |||
|- | |||
| colspan="2" style="background: #DCDCDC; padding: 5px; text-align: center;" |[[Nephrolithiasis]]<ref name="pmid12649987">{{cite journal |vauthors=Hochreiter W, Knoll T, Hess B |title=[Pathophysiology, diagnosis and conservative therapy of non-calcium kidney calculi] |language=German |journal=Ther Umsch |volume=60 |issue=2 |pages=89–97 |date=February 2003 |pmid=12649987 |doi=10.1024/0040-5930.60.2.89 |url=}}</ref><ref name="pmid23392537">{{cite journal |vauthors=Trinchieri A |title=Diet and renal stone formation |journal=Minerva Med. |volume=104 |issue=1 |pages=41–54 |date=February 2013 |pmid=23392537 |doi= |url=}}</ref> | |||
| style="background: #F5F5F5; padding: 5px;" | + | |||
| style="background: #F5F5F5; padding: 5px;" |± | |||
| style="background: #F5F5F5; padding: 5px;" | + | |||
| style="background: #F5F5F5; padding: 5px;" |± | |||
| style="background: #F5F5F5; padding: 5px;" |± | |||
| style="background: #F5F5F5; padding: 5px;" |± | |||
| style="background: #F5F5F5; padding: 5px;" |– | |||
| style="background: #F5F5F5; padding: 5px;" |– | |||
| style="background: #F5F5F5; padding: 5px;" | | |||
* Radiating pain to groin | |||
| style="background: #F5F5F5; padding: 5px;" | | |||
* [[Hypercalciuria]] | |||
* [[Hyperoxaluria]] | |||
* [[Hypocitraturia]] | |||
* [[Hyperuricemia]] | |||
* [[Hyperuricosuria]] | |||
| style="background: #F5F5F5; padding: 5px;" | | |||
* Ultrasound: [[Hydronephrosis]] +/- | |||
* [[Computed tomography|Abdominal CT scan]] without contrast | |||
| style="background: #F5F5F5; padding: 5px;" |Abdominal [[Computed tomography|CT scan]] without contrast | |||
|- | |||
| colspan="2" style="background: #DCDCDC; padding: 5px; text-align: center;" |[[Reflux nephropathy|Reflux nephropathy (hydronephrosis)]] | |||
| style="background: #F5F5F5; padding: 5px;" | + | |||
| style="background: #F5F5F5; padding: 5px;" | + | |||
| style="background: #F5F5F5; padding: 5px;" | - | |||
| style="background: #F5F5F5; padding: 5px;" | - | |||
| style="background: #F5F5F5; padding: 5px;" | - | |||
| style="background: #F5F5F5; padding: 5px;" | - | |||
| style="background: #F5F5F5; padding: 5px;" | - | |||
| style="background: #F5F5F5; padding: 5px;" | + | |||
| style="background: #F5F5F5; padding: 5px;" | | |||
* [[Abdomen]] pain | |||
* [[Chest pain]] | |||
* [[Shortness of breath]] | |||
| style="background: #F5F5F5; padding: 5px;" | | |||
* Elevated [[WBC]] count | |||
* Elevated [[BUN]] | |||
* [[Hyperkalemia]] | |||
| style="background: #F5F5F5; padding: 5px;" | | |||
* Ultrasound: [[Hydronephrosis]] +/- | |||
* Biopsy: [[Kidney]] scar | |||
| style="background: #F5F5F5; padding: 5px;" |– | |||
|- | |||
| rowspan="4" style="background: #DCDCDC; padding: 5px; text-align: center;" |[[Malignancy]] | |||
| style="background: #DCDCDC; padding: 5px; text-align: center;" |[[Renal cell carcinoma|Renal cell carcinoma (RCC)]]<ref name="pmid16339096">{{cite journal| author=Cohen HT, McGovern FJ| title=Renal-cell carcinoma. | journal=N Engl J Med | year= 2005 | volume= 353 | issue= 23 | pages= 2477-90 | pmid=16339096 | doi=10.1056/NEJMra043172 | pmc= | url=http://www.ncbi.nlm.nih.gov/entrez/eutils/elink.fcgi?dbfrom=pubmed&tool=sumsearch.org/cite&retmode=ref&cmd=prlinks&id=16339096 }}</ref><ref name="pmid20479778">{{cite journal |vauthors=Leveridge MJ, Bostrom PJ, Koulouris G, Finelli A, Lawrentschuk N |title=Imaging renal cell carcinoma with ultrasonography, CT and MRI |journal=Nat Rev Urol |volume=7 |issue=6 |pages=311–25 |date=June 2010 |pmid=20479778 |doi=10.1038/nrurol.2010.63 |url=}}</ref> | |||
| style="background: #F5F5F5; padding: 5px;" | - | |||
| style="background: #F5F5F5; padding: 5px;" | - | |||
| style="background: #F5F5F5; padding: 5px;" | - | |||
| style="background: #F5F5F5; padding: 5px;" | - | |||
| style="background: #F5F5F5; padding: 5px;" | - | |||
| style="background: #F5F5F5; padding: 5px;" | - | |||
| style="background: #F5F5F5; padding: 5px;" |± | |||
| style="background: #F5F5F5; padding: 5px;" |± | |||
| style="background: #F5F5F5; padding: 5px;" | | |||
* [[Flanks|Flank]] mass | |||
| style="background: #F5F5F5; padding: 5px;" | | |||
* [[Anemia]] | |||
* [[Hematuria]] | |||
| style="background: #F5F5F5; padding: 5px;" | | |||
* Both [[CT]] and [[MRI]] may be used to detect [[neoplastic]] masses that may define renal cell carcinoma or metastasis of the primary cancer. [[CT]] scan and use of intravenous (IV) contrast is generally used for work-up and follow-up of patients with [[Renal cell carcinoma|renal cell carcinom]]<nowiki/>a. | |||
* The histological pattern of renal cell [[carcinoma]] depends whether it is [[Papillary|papillary,]] [[chromophobe]] or [[collecting duct]] renal cell carcinoma. | |||
| style="background: #F5F5F5; padding: 5px;" |– | |||
|- | |||
| style="background: #DCDCDC; padding: 5px; text-align: center;" |[[Nephroblastoma]] ([[Wilms' tumor|Wilms tumor]])<ref name="pmid1978">{{cite journal |vauthors=Jolly RD, Stellwagen E, Babul J, Vodkaĭlo LV, Titov VL, Moldomusaev DM, Maianskiĭ AN |title=Mannosidosis of Angus Cattle: a prototype control program for some genetic diseases |journal=Adv Vet Sci Comp Med |volume=19 |issue=23 |pages=1–21 |date=November 1975 |pmid=1978 |doi= |url=}}</ref><ref name="pmid157385942">{{cite journal |vauthors=Stefanowicz J, Sierota D, Balcerska A, Stoba C |title=[Wilms' tumour of unfavorable histology--results of treatment with the SIOP 93-01 protocol at the Gdańsk centre. Preliminary report] |language=Polish |journal=Med Wieku Rozwoj |volume=8 |issue=2 Pt 1 |pages=197–200 |date=2004 |pmid=15738594 |doi= |url=}}</ref> | |||
| style="background: #F5F5F5; padding: 5px;" | - | |||
| style="background: #F5F5F5; padding: 5px;" | - | |||
| style="background: #F5F5F5; padding: 5px;" | - | |||
| style="background: #F5F5F5; padding: 5px;" | - | |||
| style="background: #F5F5F5; padding: 5px;" | - | |||
| style="background: #F5F5F5; padding: 5px;" | - | |||
| style="background: #F5F5F5; padding: 5px;" | - | |||
| style="background: #F5F5F5; padding: 5px;" | - | |||
| style="background: #F5F5F5; padding: 5px;" | | |||
* [[Abdominal pain]] | |||
| style="background: #F5F5F5; padding: 5px;" | | |||
* [[Anemia]] | |||
* [[Hematuria]] | |||
| style="background: #F5F5F5; padding: 5px;" | | |||
*Ultrasound is the best initial diagnostic study used in cases suspected with [[Wilms tumor]].<ref name="pmid61529362">{{cite journal |vauthors=Hartman DS, Sanders RC |title=Wilms' tumor versus neuroblastoma: usefulness of ultrasound in differentiation |journal=J Ultrasound Med |volume=1 |issue=3 |pages=117–22 |date=April 1982 |pmid=6152936 |doi= |url=}}</ref> | |||
*[[Doppler ultrasonography]] can help to detect invasion of [[renal vein]] and [[Inferior vena cava|IVC]] by the tumor.<ref name="pmid30036602">{{cite journal |vauthors=De Campo JF |title=Ultrasound of Wilms' tumor |journal=Pediatr Radiol |volume=16 |issue=1 |pages=21–4 |date=1986 |pmid=3003660 |doi= |url=}}</ref> | |||
*Findings on [[CT scan]]:<ref name="pmid4080660">{{cite journal |vauthors=Cahan LD |title=Failure of encephalo-duro-arterio-synangiosis procedure in moyamoya disease |journal=Pediatr Neurosci |volume=12 |issue=1 |pages=58–62 |date=1985 |pmid=4080660 |doi= |url=}}</ref> | |||
**Heterogeneous soft-tissue density masses | |||
**Abdominal lymph nodes and contralateral involvement | |||
'''Biopsy:''' | |||
* Primitive tubules and [[Glomerulus|glomeruli]] are often seen comprised of [[Cancer|neoplastic]] cells. | |||
* Spindled cell [[stroma]] surrounding abortive tubules and [[Glomerulus|glomeruli]] is characteristic. | |||
*The stroma may include: | |||
**Striated [[muscle]] [[cartilage]] | |||
**[[bone]] | |||
**[[Adipose tissue|Fat tissue]] | |||
**[[Fibrous connective tissue|Fibrous tissue.]] | |||
| style="background: #F5F5F5; padding: 5px;" |Biopsy | |||
|- | |||
| style="background: #DCDCDC; padding: 5px; text-align: center;" |[[Bladder cancer]]<ref name="pmid21360040">{{cite journal| author=Pons F, Orsola A, Morote J, Bellmunt J| title=Variant forms of bladder cancer: basic considerations on treatment approaches. | journal=Curr Oncol Rep | year= 2011 | volume= 13 | issue= 3 | pages= 216-21 | pmid=21360040 | doi=10.1007/s11912-011-0161-4 | pmc= | url=http://www.ncbi.nlm.nih.gov/entrez/eutils/elink.fcgi?dbfrom=pubmed&tool=sumsearch.org/cite&retmode=ref&cmd=prlinks&id=21360040 }}</ref><ref name="pmid10918764">{{cite journal |vauthors=Metts MC, Metts JC, Milito SJ, Thomas CR |title=Bladder cancer: a review of diagnosis and management |journal=J Natl Med Assoc |volume=92 |issue=6 |pages=285–94 |date=June 2000 |pmid=10918764 |pmc=2640522 |doi= |url=}}</ref><ref name="pmid182316182">{{cite journal |vauthors=Rom M, Kuehhas FE, Djavan B |title=New findings in bladder and prostate cancer: highlights of the 22nd annual congress of the European association of urology, march 21-24, 2007, berlin, Germany |journal=Rev Urol |volume=9 |issue=4 |pages=214–9 |date=2007 |pmid=18231618 |pmc=2199502 |doi= |url=}}</ref> | |||
| style="background: #F5F5F5; padding: 5px;" | - | |||
| style="background: #F5F5F5; padding: 5px;" | - | |||
| style="background: #F5F5F5; padding: 5px;" | - | |||
| style="background: #F5F5F5; padding: 5px;" | - | |||
| style="background: #F5F5F5; padding: 5px;" |± | |||
| style="background: #F5F5F5; padding: 5px;" |± | |||
| style="background: #F5F5F5; padding: 5px;" | - | |||
| style="background: #F5F5F5; padding: 5px;" | - | |||
| style="background: #F5F5F5; padding: 5px;" |Suprapubic pain | |||
| style="background: #F5F5F5; padding: 5px;" | | |||
* [[Anemia]] | |||
* [[Hematuria]] | |||
| style="background: #F5F5F5; padding: 5px;" |[[Ultrasound]], [[Computed tomography|CT scan]], Biopsy | |||
| style="background: #F5F5F5; padding: 5px;" |Biopsy | |||
|- | |||
| style="background: #DCDCDC; padding: 5px; text-align: center;" |[[Prostate cancer]]<ref name="pmid23451265">{{cite journal |vauthors=Chung SD, Liu SP, Lin HC |title=Association between prostate cancer and urinary calculi: a population-based study |journal=PLoS ONE |volume=8 |issue=2 |pages=e57743 |date=2013 |pmid=23451265 |pmc=3581486 |doi=10.1371/journal.pone.0057743 |url=}}</ref><ref name="pmid18231618">{{cite journal |vauthors=Rom M, Kuehhas FE, Djavan B |title=New findings in bladder and prostate cancer: highlights of the 22nd annual congress of the European association of urology, march 21-24, 2007, berlin, Germany |journal=Rev Urol |volume=9 |issue=4 |pages=214–9 |date=2007 |pmid=18231618 |pmc=2199502 |doi= |url=}}</ref> | |||
| style="background: #F5F5F5; padding: 5px;" |± | |||
| style="background: #F5F5F5; padding: 5px;" | - | |||
| style="background: #F5F5F5; padding: 5px;" | - | |||
| style="background: #F5F5F5; padding: 5px;" | - | |||
| style="background: #F5F5F5; padding: 5px;" |± | |||
| style="background: #F5F5F5; padding: 5px;" |± | |||
| style="background: #F5F5F5; padding: 5px;" | - | |||
| style="background: #F5F5F5; padding: 5px;" | - | |||
| style="background: #F5F5F5; padding: 5px;" | - | |||
| style="background: #F5F5F5; padding: 5px;" | | |||
* [[Anemia]] | |||
* [[Hematuria]] | |||
| style="background: #F5F5F5; padding: 5px;" |[[Ultrasound]], [[Computed tomography|CT scan]], Biopsy | |||
| style="background: #F5F5F5; padding: 5px;" |Biopsy | |||
|- | |||
! colspan="2" style="background: #4479BA; color: #FFFFFF; text-align: center;" |Disease | |||
! style="background: #4479BA; color: #FFFFFF; text-align: center;" |Low back pain | |||
! style="background: #4479BA; color: #FFFFFF; text-align: center;" |Fever | |||
! style="background: #4479BA; color: #FFFFFF; text-align: center;" |Nausea/ | |||
Vomiting | |||
! style="background: #4479BA; color: #FFFFFF; text-align: center;" |Dysuria | |||
! style="background: #4479BA; color: #FFFFFF; text-align: center;" |Frequency | |||
! style="background: #4479BA; color: #FFFFFF; text-align: center;" |Oliguria | |||
! style="background: #4479BA; color: #FFFFFF; text-align: center;" |Hypertension | |||
! style="background: #4479BA; color: #FFFFFF; text-align: center;" |Pitting edema | |||
! style="background: #4479BA; color: #FFFFFF; text-align: center;" |Other | |||
! style="background: #4479BA; color: #FFFFFF; text-align: center;" |Lab Findings | |||
! style="background: #4479BA; color: #FFFFFF; text-align: center;" |Diagnosis method | |||
! style="background: #4479BA; color: #FFFFFF; text-align: center;" |Gold standard | |||
|- | |||
| style="background: #DCDCDC; padding: 5px; text-align: center;" |[[Familial|Familial diseases]] | |||
| style="background: #DCDCDC; padding: 5px; text-align: center;" |[[Polycystic kidney disease]]'''<ref name="pmid8321262">{{cite journal |vauthors=Gabow PA |title=Autosomal dominant polycystic kidney disease |journal=N. Engl. J. Med. |volume=329 |issue=5 |pages=332–42 |date=July 1993 |pmid=8321262 |doi=10.1056/NEJM199307293290508 |url=}}</ref><ref name="pmid16523049">{{cite journal |vauthors=Adeva M, El-Youssef M, Rossetti S, Kamath PS, Kubly V, Consugar MB, Milliner DM, King BF, Torres VE, Harris PC |title=Clinical and molecular characterization defines a broadened spectrum of autosomal recessive polycystic kidney disease (ARPKD) |journal=Medicine (Baltimore) |volume=85 |issue=1 |pages=1–21 |date=January 2006 |pmid=16523049 |doi=10.1097/01.md.0000200165.90373.9a |url=}}</ref>''' | |||
| style="background: #F5F5F5; padding: 5px;" | + | |||
| style="background: #F5F5F5; padding: 5px;" | - | |||
| style="background: #F5F5F5; padding: 5px;" | - | |||
| style="background: #F5F5F5; padding: 5px;" | - | |||
| style="background: #F5F5F5; padding: 5px;" | - | |||
| style="background: #F5F5F5; padding: 5px;" | - | |||
| style="background: #F5F5F5; padding: 5px;" | + | |||
| style="background: #F5F5F5; padding: 5px;" | + | |||
| style="background: #F5F5F5; padding: 5px;" | | |||
* [[Palpable]] [[mass]] in the [[flank]] | |||
* Palpable [[abdominal]] [[mass]] in the [[lumbar]] quadrant | |||
* [[Palpable]] [[nodular]] [[hepatomegaly]] | |||
| style="background: #F5F5F5; padding: 5px;" | | |||
* [[Hypocitraturia]] in 65% on patients | |||
* [[Hyperuricemia]] in 20% of patients | |||
* [[Hyperoxaluria]] in 20% of patients | |||
* Low [[urine pH]] | |||
* [[Hematuria]] ([[microscopic]] or [[macroscopic]]) | |||
* [[Proteinuria]] usually less than 1 g/day | |||
| style="background: #F5F5F5; padding: 5px;" |Ultrasound: | |||
* Unilateral or bilateral [[cysts]] | |||
[[CT-scans|CT]]: | |||
* Hyperdense appearance, | |||
* Septations | |||
* Calcifications | |||
[[Genetic]] testing demonstrates: | |||
* Frame insertions/deletions | |||
* Non-canonical [[splice]] site alterations | |||
* Combined [[missense]] changes | |||
Biopsy: | |||
* Interstitial fibrosis | |||
* Tubular atrophy | |||
* Thickening and lamellation of tubular basement membranes | |||
| style="background: #F5F5F5; padding: 5px;" |[[Ultrasound]] | |||
|- | |||
| rowspan="3" style="background: #DCDCDC; padding: 5px; text-align: center;" |[[Vascular anomaly|Vascular diseases]] | |||
| style="background: #DCDCDC; padding: 5px; text-align: center;" |[[Renal vein thrombosis]]<ref>{{Cite journal | |||
| author = [[U. Kuhlmann]], [[J. Steurer]], [[A. Bollinger]], [[G. Pouliadis]], [[J. Briner]] & [[W. Siegenthaler]] | |||
| title = [Incidence and clinical significance of thromboses and thrombo-embolic complications in nephrotic syndrome patients] | |||
| journal = [[Schweizerische medizinische Wochenschrift]] | |||
| volume = 111 | |||
| issue = 27-28 | |||
| pages = 1034–1040 | |||
| year = 1981 | |||
| month = July | |||
| pmid = 7268357 | |||
}}</ref><ref>{{Cite journal | |||
| author = [[F. Llach]], [[S. Papper]] & [[S. G. Massry]] | |||
| title = The clinical spectrum of renal vein thrombosis: acute and chronic | |||
| journal = [[The American journal of medicine]] | |||
| volume = 69 | |||
| issue = 6 | |||
| pages = 819–827 | |||
| year = 1980 | |||
| month = December | |||
| pmid = 7446547 | |||
}}</ref> | |||
| style="background: #F5F5F5; padding: 5px;" | + | |||
| style="background: #F5F5F5; padding: 5px;" | + | |||
| style="background: #F5F5F5; padding: 5px;" | + | |||
| style="background: #F5F5F5; padding: 5px;" | - | |||
| style="background: #F5F5F5; padding: 5px;" | - | |||
| style="background: #F5F5F5; padding: 5px;" | - | |||
| style="background: #F5F5F5; padding: 5px;" | - | |||
| style="background: #F5F5F5; padding: 5px;" | - | |||
| style="background: #F5F5F5; padding: 5px;" | | |||
* Asymptomatic | |||
* [[Abdominal pain]] | |||
* Acute in onset | |||
| style="background: #F5F5F5; padding: 5px;" | | |||
* Elevation in serum [[lactate dehydrogenase]] | |||
* [[Cholesterol]] levels for hyper-cholesterolemia | |||
* [[Albumin]] levels for hypoalbuminemia | |||
* Serum [[complement]] levels | |||
| style="background: #F5F5F5; padding: 5px;" | | |||
* [[Ultrasound]] | |||
* [[Venography]] | |||
| style="background: #F5F5F5; padding: 5px;" |'''Renal venography:''' Gold standard | |||
|- | |||
| style="background: #DCDCDC; padding: 5px; text-align: center;" |[[Granulomatosis with polyangiitis|Wegner's granulomatosis polyangiitis]]<ref name="pmid27733943">{{cite journal| author=Pagnoux C| title=Updates in ANCA-associated vasculitis. | journal=Eur J Rheumatol | year= 2016 | volume= 3 | issue= 3 | pages= 122-133 | pmid=27733943 | doi=10.5152/eurjrheum.2015.0043 | pmc= | url=https://www.ncbi.nlm.nih.gov/entrez/eutils/elink.fcgi?dbfrom=pubmed&tool=sumsearch.org/cite&retmode=ref&cmd=prlinks&id=27733943 }}</ref><ref name="pmid12541109">{{cite journal |vauthors=Lee KS, Kim TS, Fujimoto K, Moriya H, Watanabe H, Tateishi U, Ashizawa K, Johkoh T, Kim EA, Kwon OJ |title=Thoracic manifestation of Wegener's granulomatosis: CT findings in 30 patients |journal=Eur Radiol |volume=13 |issue=1 |pages=43–51 |year=2003 |pmid=12541109 |doi=10.1007/s00330-002-1422-2 |url=}}</ref><ref name="pmid17133251">{{cite journal| author=Kallenberg CG, Heeringa P, Stegeman CA| title=Mechanisms of Disease: pathogenesis and treatment of ANCA-associated vasculitides. | journal=Nat Clin Pract Rheumatol | year= 2006 | volume= 2 | issue= 12 | pages= 661-70 | pmid=17133251 | doi=10.1038/ncprheum0355 | pmc= | url=https://www.ncbi.nlm.nih.gov/entrez/eutils/elink.fcgi?dbfrom=pubmed&tool=sumsearch.org/cite&retmode=ref&cmd=prlinks&id=17133251 }}</ref><ref name="pmid93665842">{{cite journal |vauthors=Jennette JC, Falk RJ |title=Small-vessel vasculitis |journal=N. Engl. J. Med. |volume=337 |issue=21 |pages=1512–23 |date=November 1997 |pmid=9366584 |doi=10.1056/NEJM199711203372106 |url=}}</ref> | |||
| style="background: #F5F5F5; padding: 5px;" | - | |||
| style="background: #F5F5F5; padding: 5px;" | - | |||
| style="background: #F5F5F5; padding: 5px;" | - | |||
| style="background: #F5F5F5; padding: 5px;" | - | |||
| style="background: #F5F5F5; padding: 5px;" | - | |||
| style="background: #F5F5F5; padding: 5px;" | +/- | |||
| style="background: #F5F5F5; padding: 5px;" | + | |||
| style="background: #F5F5F5; padding: 5px;" | + | |||
| style="background: #F5F5F5; padding: 5px;" | | |||
* [[Upper respiratory tract infection|URTI]] | |||
* [[CNS]] involvement | |||
* [[Ophthalmic]] involvement | |||
| style="background: #F5F5F5; padding: 5px;" | | |||
* [[Proteinuria]] | |||
* Microscopic [[hematuria]] | |||
* [[RBC casts]] | |||
| style="background: #F5F5F5; padding: 5px;" | [[Computed tomography|CT]] chest: | |||
* Multiple [[Pulmonary nodule|lung nodules]] | |||
* [[Consolidation (medicine)|Consolidation]] | |||
* [[Ground glass opacification on CT|Ground-glass opacities.]] | |||
Biopsy: | |||
* Subendothelial [[edema]] | |||
* Microthrombosis, and | |||
* [[Degranulation]] of [[neutrophils]]. | |||
| style="background: #F5F5F5; padding: 5px;" |Biopsy | |||
|- | |||
| style="background: #DCDCDC; padding: 5px; text-align: center;" |[[Henoch-Schönlein purpura]]<ref name="pmid9366584">{{cite journal |vauthors=Jennette JC, Falk RJ |title=Small-vessel vasculitis |journal=N. Engl. J. Med. |volume=337 |issue=21 |pages=1512–23 |date=November 1997 |pmid=9366584 |doi=10.1056/NEJM199711203372106 |url=}}</ref><ref name="pmid25557596">{{cite journal |vauthors=Chen JY, Mao JH |title=Henoch-Schönlein purpura nephritis in children: incidence, pathogenesis and management |journal=World J Pediatr |volume=11 |issue=1 |pages=29–34 |date=February 2015 |pmid=25557596 |doi=10.1007/s12519-014-0534-5 |url=}}</ref> | |||
| style="background: #F5F5F5; padding: 5px;" | - | |||
| style="background: #F5F5F5; padding: 5px;" | - | |||
| style="background: #F5F5F5; padding: 5px;" | - | |||
| style="background: #F5F5F5; padding: 5px;" | - | |||
| style="background: #F5F5F5; padding: 5px;" | - | |||
| style="background: #F5F5F5; padding: 5px;" | +/- | |||
| style="background: #F5F5F5; padding: 5px;" | +/- | |||
| style="background: #F5F5F5; padding: 5px;" | + | |||
| style="background: #F5F5F5; padding: 5px;" | | |||
* [[Abdominal pain]] | |||
* [[Rash]] | |||
* [[Hematuria]] | |||
| style="background: #F5F5F5; padding: 5px;" | | |||
* [[Proteinuria]] | |||
* Microscopic [[hematuria]] | |||
* [[Urinary casts|RBC casts]] | |||
| style="background: #F5F5F5; padding: 5px;" |Biopsy: | |||
[[Immunoglobulin A|IgA]] deposited in a diffuse [[Granule cell|granular]] pattern in the [[mesangium]] | |||
| style="background: #F5F5F5; padding: 5px;" |Renal biopsy, and clinical syndrome | |||
|- | |||
! colspan="2" style="background: #4479BA; color: #FFFFFF; text-align: center;" |Disease | |||
! style="background: #4479BA; color: #FFFFFF; text-align: center;" |Low back pain | |||
! style="background: #4479BA; color: #FFFFFF; text-align: center;" |Fever | |||
! style="background: #4479BA; color: #FFFFFF; text-align: center;" |Nausea/ | |||
Vomiting | |||
! style="background: #4479BA; color: #FFFFFF; text-align: center;" |Dysuria | |||
! style="background: #4479BA; color: #FFFFFF; text-align: center;" |Frequency | |||
! style="background: #4479BA; color: #FFFFFF; text-align: center;" |Oliguria | |||
! style="background: #4479BA; color: #FFFFFF; text-align: center;" |Hypertension | |||
! style="background: #4479BA; color: #FFFFFF; text-align: center;" |Pitting edema | |||
! style="background: #4479BA; color: #FFFFFF; text-align: center;" |Other | |||
! style="background: #4479BA; color: #FFFFFF; text-align: center;" |Lab Findings | |||
! style="background: #4479BA; color: #FFFFFF; text-align: center;" |Diagnosis method | |||
! style="background: #4479BA; color: #FFFFFF; text-align: center;" |Gold standard | |||
|- | |||
| rowspan="2" style="background: #DCDCDC; padding: 5px; text-align: center;" |[[Urinary system|Lower urinary tract diseases]] | |||
| style="background: #DCDCDC; padding: 5px; text-align: center;" |[[Benign prostatic hyperplasia]] | |||
| style="background: #F5F5F5; padding: 5px;" | +/- | |||
| style="background: #F5F5F5; padding: 5px;" | - | |||
| style="background: #F5F5F5; padding: 5px;" | - | |||
| style="background: #F5F5F5; padding: 5px;" | + | |||
| style="background: #F5F5F5; padding: 5px;" | + | |||
| style="background: #F5F5F5; padding: 5px;" | - | |||
| style="background: #F5F5F5; padding: 5px;" | - | |||
| style="background: #F5F5F5; padding: 5px;" | - | |||
| style="background: #F5F5F5; padding: 5px;" | | |||
* [[Nocturia]] | |||
* Other voiding symptoms | |||
** Slow urinary stream | |||
** Splitting or spraying of the [[Urinary system|urinary]] stream | |||
** Intermittent urinary stream | |||
** Hesitancy | |||
** Straining to void | |||
** Terminal dribbling | |||
| style="background: #F5F5F5; padding: 5px;" | | |||
* Urinalysis to rule out [[Urinary tract infection|UTI]] | |||
* Elevated [[Blood urea nitrogen|BUN]]/[[Creatinine|Cr]] | |||
* High [[Prostate specific antigen|PSA]] values | |||
| style="background: #F5F5F5; padding: 5px;" | | |||
* Urine cytology to screen for bladder cancer | |||
* Biopsy to rule out cancer | |||
| style="background: #F5F5F5; padding: 5px;" |Biopsy | |||
|- | |||
| style="background: #DCDCDC; padding: 5px; text-align: center;" |[[Urolithiasis]]<ref name="pmid126499872">{{cite journal |vauthors=Hochreiter W, Knoll T, Hess B |title=[Pathophysiology, diagnosis and conservative therapy of non-calcium kidney calculi] |language=German |journal=Ther Umsch |volume=60 |issue=2 |pages=89–97 |date=February 2003 |pmid=12649987 |doi=10.1024/0040-5930.60.2.89 |url=}}</ref><ref name="pmid24818849">{{cite journal |vauthors=Flannigan R, Choy WH, Chew B, Lange D |title=Renal struvite stones--pathogenesis, microbiology, and management strategies |journal=Nat Rev Urol |volume=11 |issue=6 |pages=333–41 |date=June 2014 |pmid=24818849 |doi=10.1038/nrurol.2014.99 |url=}}</ref><ref name="pmid25685869">{{cite journal |vauthors=Pereira DJ, Schoolwerth AC, Pais VM |title=Cystinuria: current concepts and future directions |journal=Clin. Nephrol. |volume=83 |issue=3 |pages=138–46 |date=March 2015 |pmid=25685869 |doi= |url=}}</ref> | |||
| style="background: #F5F5F5; padding: 5px;" | + | |||
| style="background: #F5F5F5; padding: 5px;" | +/- | |||
| style="background: #F5F5F5; padding: 5px;" | + | |||
| style="background: #F5F5F5; padding: 5px;" | + | |||
| style="background: #F5F5F5; padding: 5px;" | + | |||
| style="background: #F5F5F5; padding: 5px;" | + | |||
| style="background: #F5F5F5; padding: 5px;" | - | |||
| style="background: #F5F5F5; padding: 5px;" | - | |||
| style="background: #F5F5F5; padding: 5px;" | | |||
* [[Flanks|Flank]] | |||
* [[Groin]] pain | |||
| style="background: #F5F5F5; padding: 5px;" | | |||
* [[Urine|Urine analysis]] | |||
* High [[Creatinine|Cr]] | |||
| style="background: #F5F5F5; padding: 5px;" |Abdominppelvic [[Computed tomography|CT scan]] without contrast | |||
| style="background: #F5F5F5; padding: 5px;" |Abdominppelvic [[Computed tomography|CT scan]] without contrast | |||
|- | |||
! colspan="2" style="background: #4479BA; color: #FFFFFF; text-align: center;" |Disease | |||
! style="background: #4479BA; color: #FFFFFF; text-align: center;" |Low back pain | |||
! style="background: #4479BA; color: #FFFFFF; text-align: center;" |Fever | |||
! style="background: #4479BA; color: #FFFFFF; text-align: center;" |Nausea/ | |||
Vomiting | |||
! style="background: #4479BA; color: #FFFFFF; text-align: center;" |Dysuria | |||
! style="background: #4479BA; color: #FFFFFF; text-align: center;" |Frequency | |||
! style="background: #4479BA; color: #FFFFFF; text-align: center;" |Oliguria | |||
! style="background: #4479BA; color: #FFFFFF; text-align: center;" |Hypertension | |||
! style="background: #4479BA; color: #FFFFFF; text-align: center;" |Pitting edema | |||
! style="background: #4479BA; color: #FFFFFF; text-align: center;" |Other | |||
! style="background: #4479BA; color: #FFFFFF; text-align: center;" |Lab Findings | |||
! style="background: #4479BA; color: #FFFFFF; text-align: center;" |Diagnosis method | |||
! style="background: #4479BA; color: #FFFFFF; text-align: center;" |Gold standard | |||
|- | |||
| rowspan="4" style="background: #DCDCDC; padding: 5px; text-align: center;" |[[Infectious disease|Infectious diseases]] | |||
| style="background: #DCDCDC; padding: 5px; text-align: center;" |[[Pyelonephritis]]<ref name="pmid256858692">{{cite journal |vauthors=Pereira DJ, Schoolwerth AC, Pais VM |title=Cystinuria: current concepts and future directions |journal=Clin. Nephrol. |volume=83 |issue=3 |pages=138–46 |date=March 2015 |pmid=25685869 |doi= |url=}}</ref><ref name="pmid18092884">{{cite journal| author=Rosen DA, Hooton TM, Stamm WE, Humphrey PA, Hultgren SJ| title=Detection of intracellular bacterial communities in human urinary tract infection. | journal=PLoS Med | year= 2007 | volume= 4 | issue= 12 | pages= e329 | pmid=18092884 | doi=10.1371/journal.pmed.0040329 | pmc=2140087 | url=https://www.ncbi.nlm.nih.gov/entrez/eutils/elink.fcgi?dbfrom=pubmed&tool=sumsearch.org/cite&retmode=ref&cmd=prlinks&id=18092884 }}</ref> | |||
| style="background: #F5F5F5; padding: 5px;" | + | |||
| style="background: #F5F5F5; padding: 5px;" | + | |||
| style="background: #F5F5F5; padding: 5px;" | + | |||
| style="background: #F5F5F5; padding: 5px;" | + | |||
| style="background: #F5F5F5; padding: 5px;" | + | |||
| style="background: #F5F5F5; padding: 5px;" | + | |||
| style="background: #F5F5F5; padding: 5px;" | - | |||
| style="background: #F5F5F5; padding: 5px;" | - | |||
| style="background: #F5F5F5; padding: 5px;" | | |||
* [[Delirium]] | |||
* [[Headache]] | |||
| style="background: #F5F5F5; padding: 5px;" | | |||
* Positive [[leukocyte esterase]] test and [[nitrite test]]. | |||
* Blood/urine cultures | |||
| style="background: #F5F5F5; padding: 5px;" |[[Computed tomography|CT]] and [[ultrasound]]: | |||
* Enlarged [[Kidney|kidneys]] | |||
* Round swollen [[Kidney|kidneys]] | |||
* Hypodense appearance | |||
* [[Abscess|Abscesses]] may not be present | |||
| style="background: #F5F5F5; padding: 5px;" | - | |||
|- | |||
| style="background: #DCDCDC; padding: 5px; text-align: center;" |[[Cystitis]]<ref name="pmid16298166">{{cite journal| author=Franco AV| title=Recurrent urinary tract infections. | journal=Best Pract Res Clin Obstet Gynaecol | year= 2005 | volume= 19 | issue= 6 | pages= 861-73 | pmid=16298166 | doi=10.1016/j.bpobgyn.2005.08.003 | pmc= | url=https://www.ncbi.nlm.nih.gov/entrez/eutils/elink.fcgi?dbfrom=pubmed&tool=sumsearch.org/cite&retmode=ref&cmd=prlinks&id=16298166 }}</ref><ref name="pmid162981662">{{cite journal| author=Franco AV| title=Recurrent urinary tract infections. | journal=Best Pract Res Clin Obstet Gynaecol | year= 2005 | volume= 19 | issue= 6 | pages= 861-73 | pmid=16298166 | doi=10.1016/j.bpobgyn.2005.08.003 | pmc= | url=https://www.ncbi.nlm.nih.gov/entrez/eutils/elink.fcgi?dbfrom=pubmed&tool=sumsearch.org/cite&retmode=ref&cmd=prlinks&id=16298166 }}</ref> | |||
| style="background: #F5F5F5; padding: 5px;" | - | |||
| style="background: #F5F5F5; padding: 5px;" | - | |||
| style="background: #F5F5F5; padding: 5px;" | - | |||
| style="background: #F5F5F5; padding: 5px;" | + | |||
| style="background: #F5F5F5; padding: 5px;" | + | |||
| style="background: #F5F5F5; padding: 5px;" | + | |||
| style="background: #F5F5F5; padding: 5px;" | - | |||
| style="background: #F5F5F5; padding: 5px;" | - | |||
| style="background: #F5F5F5; padding: 5px;" | | |||
* [[Dyspareunia]] | |||
* Supra pubic tenderness | |||
| style="background: #F5F5F5; padding: 5px;" | | |||
* [[Pyuria]]: > 5-10 [[White blood cells|WBC]]/hpf or 27 [[WBC]]/microliter | |||
* Positive [[leukocyte esterase]] test and [[nitrite test]]. | |||
* Positive urine/blood cultures | |||
| style="background: #F5F5F5; padding: 5px;" |[[Ultrasound|Ultrasound:]] | |||
* Presence of gas in the bladder wall. | |||
* Also, help to detect the presence of a [[tumor]] or a [[Stone massage|stone]]. | |||
| style="background: #F5F5F5; padding: 5px;" |Urine culture | |||
|- | |||
| style="background: #DCDCDC; padding: 5px; text-align: center;" |[[Prostatitis]]<ref>{{Cite journal | |||
| author = [[John N. Krieger]], [[Ulrich Dobrindt]], [[Donald E. Riley]] & [[Eric Oswald]] | |||
| title = Acute Escherichia coli prostatitis in previously health young men: bacterial virulence factors, antimicrobial resistance, and clinical outcomes | |||
| journal = [[Urology]] | |||
| volume = 77 | |||
| issue = 6 | |||
| pages = 1420–1425 | |||
| year = 2011 | |||
| month = June | |||
| doi = 10.1016/j.urology.2010.12.059 | |||
| pmid = 21459419 | |||
}}</ref><ref name="pmid20704171">{{cite journal| author=Sharp VJ, Takacs EB, Powell CR| title=Prostatitis: diagnosis and treatment. | journal=Am Fam Physician | year= 2010 | volume= 82 | issue= 4 | pages= 397-406 | pmid=20704171 | doi= | pmc= | url=http://www.ncbi.nlm.nih.gov/entrez/eutils/elink.fcgi?dbfrom=pubmed&tool=sumsearch.org/cite&retmode=ref&cmd=prlinks&id=20704171 }}</ref> | |||
| style="background: #F5F5F5; padding: 5px;" | - | |||
| style="background: #F5F5F5; padding: 5px;" | + | |||
| style="background: #F5F5F5; padding: 5px;" | - | |||
| style="background: #F5F5F5; padding: 5px;" | + | |||
| style="background: #F5F5F5; padding: 5px;" | + | |||
| style="background: #F5F5F5; padding: 5px;" | + | |||
| style="background: #F5F5F5; padding: 5px;" | - | |||
| style="background: #F5F5F5; padding: 5px;" | - | |||
| style="background: #F5F5F5; padding: 5px;" | | |||
* Body aches | |||
| style="background: #F5F5F5; padding: 5px;" | | |||
* Increased [[leukocytes]] (>10 per high power field) on [[Complete blood count|CBC]] | |||
* Bacteria seen on [[urine culture]] | |||
* Elevated [[C-reactive protein]] | |||
* Transiently elevated [[PSA]] ([[prostate specific antigen]]) levels | |||
| style="background: #F5F5F5; padding: 5px;" |[[Ultrasound|Ultrasound:]] | |||
* Focal hypoechoic region located in the peripheral part of the [[prostate]] | |||
[[Computed tomography|CT scan:]] | |||
* Edema of the [[prostate gland]] with diffuse enlargement,. | |||
| style="background: #F5F5F5; padding: 5px;" | - | |||
|- | |||
| style="background: #DCDCDC; padding: 5px; text-align: center;" |[[Urethritis]]<ref name="pmid1538163">{{cite journal |vauthors=McNagny SE, Parker RM, Zenilman JM, Lewis JS |title=Urinary leukocyte esterase test: a screening method for the detection of asymptomatic chlamydial and gonococcal infections in men |journal=J. Infect. Dis. |volume=165 |issue=3 |pages=573–6 |year=1992 |pmid=1538163 |doi= |url=}}</ref><ref name="pmid20353145">{{cite journal |vauthors=Brill JR |title=Diagnosis and treatment of urethritis in men |journal=Am Fam Physician |volume=81 |issue=7 |pages=873–8 |year=2010 |pmid=20353145 |doi= |url=}}</ref> | |||
| style="background: #F5F5F5; padding: 5px;" | -/- | |||
| style="background: #F5F5F5; padding: 5px;" | + | |||
| style="background: #F5F5F5; padding: 5px;" | - | |||
| style="background: #F5F5F5; padding: 5px;" | + | |||
| style="background: #F5F5F5; padding: 5px;" | + | |||
| style="background: #F5F5F5; padding: 5px;" | + | |||
| style="background: #F5F5F5; padding: 5px;" | - | |||
| style="background: #F5F5F5; padding: 5px;" | - | |||
| style="background: #F5F5F5; padding: 5px;" | | |||
* [[Urethral]] discharge | |||
| style="background: #F5F5F5; padding: 5px;" | | |||
* Mucoid, [[mucopurulent]], or [[purulent]] [[discharge]] | |||
* [[Gram staining|Gram stain]] of urethral secretions demonstrating ≥2 [[WBC]] per field | |||
* Positive leukocyte esterase test. | |||
| style="background: #F5F5F5; padding: 5px;" | | |||
[[Computed tomography|CT scan]]: | |||
* Diffuse, circumferential urothelial wall thickening and [[contrast]]-enhancement | |||
* Periureteric or perinephric fat stranding. | |||
| style="background: #F5F5F5; padding: 5px;" |[[Urine culture]] | |||
|- | |||
| style="background: #DCDCDC; padding: 5px; text-align: center;" |[[Urogenital|Urogenital trauma]] | |||
| style="background: #DCDCDC; padding: 5px; text-align: center;" |Inserted [[bladder]] or [[Ureteral disease|ureteral catheters]] | |||
| style="background: #F5F5F5; padding: 5px;" | - | |||
| style="background: #F5F5F5; padding: 5px;" | - | |||
| style="background: #F5F5F5; padding: 5px;" | - | |||
| style="background: #F5F5F5; padding: 5px;" | + | |||
| style="background: #F5F5F5; padding: 5px;" | + | |||
| style="background: #F5F5F5; padding: 5px;" | + | |||
| style="background: #F5F5F5; padding: 5px;" | - | |||
| style="background: #F5F5F5; padding: 5px;" | - | |||
| style="background: #F5F5F5; padding: 5px;" | | |||
* History of [[Physical trauma|trauma]] | |||
| style="background: #F5F5F5; padding: 5px;" | | |||
* [[Hematuria]] | |||
| style="background: #F5F5F5; padding: 5px;" | | |||
* Retrograde urethrogram (RUG) | |||
| style="background: #F5F5F5; padding: 5px;" | | |||
* Retrograde urethrogram (RUG) | |||
|} | |||
Lower abdominal mass can be classified to the gynecological and non-gynecological causes. | |||
Bladder cancer in the advanced cases can present as a bladder mass. Below table discusses lower abdominal mass causes: | |||
==References== | ==References== | ||
Line 21: | Line 724: | ||
[[Category:Types of cancer]] | [[Category:Types of cancer]] | ||
[[Category:Urology]] | [[Category:Urology]] | ||
[[Category:Up-To-Date]] | |||
[[Category:Oncology]] | |||
[[Category:Medicine]] | |||
[[Category:Nephrology]] | |||
[[Category:Surgery]] |
Latest revision as of 21:26, 14 February 2019
Editor-In-Chief: C. Michael Gibson, M.S., M.D. [1]; Associate Editor(s)-in-Chief: Shanshan Cen, M.D. [2]
Overview
Bladder cancer must be differentiated from renal cancer, renal stones, prostate cancer, and cystitis.
Differential Diagnosis
The most common presentation of bladder cancer is hematuria; however in the advanced cases, the presentation can be bladder mass.
Bladder cancer must be differentiated from other causes of hematuria as in the below table:
Diseases | Clinical manifestations | Para-clinical findings | Gold standard | ||||||||||
---|---|---|---|---|---|---|---|---|---|---|---|---|---|
Symptoms | Physical examina | ||||||||||||
Lab Findings | Diagnosi | ||||||||||||
Low back pain | Fever | Nausea/
Vomiting |
Urinary symptoms | Hypertension | Pitting edema | Other | |||||||
Dysuria | Frequency | Oliguria | |||||||||||
Glomerular diseases | IgA nephropathy[1][2] (Berger nephropathy) | + | - | - | - | + | + | + | - | - | Biopsy:
IgA deposited in a diffuse granular pattern in the mesangium |
Biopsy
| |
Hereditary nephritis[3][4] (Alport syndrome) | - | - | - | - | - | - | + | - |
|
Biopsy:
|
Genetic analysis | ||
Post-streptococcal glomerulonephritis[5][6] | +/- | + | - | - | + | + | + | + |
|
Biopsy
|
Biopsy | ||
Focal segmental glomerular sclerosis[7][8][9] | - | - | - | - | - | - | + | + |
|
Biopsy | Biopsy | ||
Rapidly progressive glomerulonephritis[10][11][12] | + | + | + | - | - | - | + | - |
|
|
Biopsy:
|
Biopsy | |
Lupus nephritis[13][14] | - | + | - | - | - | - | + | + |
|
|
Biopsy,
|
Biopsy | |
Fabry disease | - | - | - | - | - | - | + | + | - | Biopsy | Biopsy | ||
Disease | Low back pain | Fever | Nausea/
Vomiting |
Dysuria | Frequency | Oliguria | Hypertension | Pitting edema | Other | Lab Findings | Diagnosis method | Gold standard | |
Tubulointerstitial diseases[15][16][17] | + | + | + | – | – | – | – | – | Rash | Biopsy:
|
Renal biopsy | ||
Nephrolithiasis[18][19] | + | ± | + | ± | ± | ± | – | – |
|
|
Abdominal CT scan without contrast | ||
Reflux nephropathy (hydronephrosis) | + | + | - | - | - | - | - | + |
|
|
– | ||
Malignancy | Renal cell carcinoma (RCC)[20][21] | - | - | - | - | - | - | ± | ± |
|
|
– | |
Nephroblastoma (Wilms tumor)[22][23] | - | - | - | - | - | - | - | - |
Biopsy:
|
Biopsy | |||
Bladder cancer[27][28][29] | - | - | - | - | ± | ± | - | - | Suprapubic pain | Ultrasound, CT scan, Biopsy | Biopsy | ||
Prostate cancer[30][31] | ± | - | - | - | ± | ± | - | - | - | Ultrasound, CT scan, Biopsy | Biopsy | ||
Disease | Low back pain | Fever | Nausea/
Vomiting |
Dysuria | Frequency | Oliguria | Hypertension | Pitting edema | Other | Lab Findings | Diagnosis method | Gold standard | |
Familial diseases | Polycystic kidney disease[32][33] | + | - | - | - | - | - | + | + |
|
Ultrasound:
CT:
Genetic testing demonstrates: Biopsy:
|
Ultrasound | |
Vascular diseases | Renal vein thrombosis[34][35] | + | + | + | - | - | - | - | - |
|
|
Renal venography: Gold standard | |
Wegner's granulomatosis polyangiitis[36][37][38][39] | - | - | - | - | - | +/- | + | + |
|
|
CT chest:
Biopsy:
|
Biopsy | |
Henoch-Schönlein purpura[40][41] | - | - | - | - | - | +/- | +/- | + |
|
Biopsy:
IgA deposited in a diffuse granular pattern in the mesangium |
Renal biopsy, and clinical syndrome | ||
Disease | Low back pain | Fever | Nausea/
Vomiting |
Dysuria | Frequency | Oliguria | Hypertension | Pitting edema | Other | Lab Findings | Diagnosis method | Gold standard | |
Lower urinary tract diseases | Benign prostatic hyperplasia | +/- | - | - | + | + | - | - | - |
|
Biopsy | ||
Urolithiasis[42][43][44] | + | +/- | + | + | + | + | - | - |
|
Abdominppelvic CT scan without contrast | Abdominppelvic CT scan without contrast | ||
Disease | Low back pain | Fever | Nausea/
Vomiting |
Dysuria | Frequency | Oliguria | Hypertension | Pitting edema | Other | Lab Findings | Diagnosis method | Gold standard | |
Infectious diseases | Pyelonephritis[45][46] | + | + | + | + | + | + | - | - |
|
CT and ultrasound: | - | |
Cystitis[47][48] | - | - | - | + | + | + | - | - |
|
|
Ultrasound:
|
Urine culture | |
Prostatitis[49][50] | - | + | - | + | + | + | - | - |
|
|
Ultrasound:
|
- | |
Urethritis[51][52] | -/- | + | - | + | + | + | - | - |
|
|
|
Urine culture | |
Urogenital trauma | Inserted bladder or ureteral catheters | - | - | - | + | + | + | - | - |
|
|
|
Lower abdominal mass can be classified to the gynecological and non-gynecological causes. Bladder cancer in the advanced cases can present as a bladder mass. Below table discusses lower abdominal mass causes:
References
- ↑ Donadio JV, Grande JP (2002). "IgA nephropathy". N Engl J Med. 347 (10): 738–48. doi:10.1056/NEJMra020109. PMID 12213946.
- ↑ Suzuki H, Kiryluk K, Novak J, Moldoveanu Z, Herr AB, Renfrow MB; et al. (2011). "The pathophysiology of IgA nephropathy". J Am Soc Nephrol. 22 (10): 1795–803. doi:10.1681/ASN.2011050464. PMID 21949093.
- ↑ McCarthy PA, Maino DM (2000). "Alport syndrome: a review". Clin Eye Vis Care. 12 (3–4): 139–150. PMID 11137428.
- ↑ Bodziak KA, Hammond WS, Molitoris BA (1994). "Inherited diseases of the glomerular basement membrane". Am J Kidney Dis. 23 (4): 605–18. PMID 8154501.
- ↑ Yoshizawa N, Yamakami K, Fujino M, Oda T, Tamura K, Matsumoto K, Sugisaki T, Boyle MD (July 2004). "Nephritis-associated plasmin receptor and acute poststreptococcal glomerulonephritis: characterization of the antigen and associated immune response". J. Am. Soc. Nephrol. 15 (7): 1785–93. PMID 15213266.
- ↑ Oda T, Yoshizawa N, Yamakami K, Tamura K, Kuroki A, Sugisaki T, Sawanobori E, Higashida K, Ohtomo Y, Hotta O, Kumagai H, Miura S (September 2010). "Localization of nephritis-associated plasmin receptor in acute poststreptococcal glomerulonephritis". Hum. Pathol. 41 (9): 1276–85. doi:10.1016/j.humpath.2010.02.006. PMID 20708459.
- ↑ Kwoh C, Shannon MB, Miner JH, Shaw A (2006). "Pathogenesis of nonimmune glomerulopathies". Annu Rev Pathol. 1: 349–74. doi:10.1146/annurev.pathol.1.110304.100119. PMID 18039119.
- ↑ Reidy K, Kaskel FJ (March 2007). "Pathophysiology of focal segmental glomerulosclerosis". Pediatr. Nephrol. 22 (3): 350–4. doi:10.1007/s00467-006-0357-2. PMC 1794138. PMID 17216262.
- ↑ D'Agati VD, Fogo AB, Bruijn JA, Jennette JC (2004). "Pathologic classification of focal segmental glomerulosclerosis: a working proposal". Am J Kidney Dis. 43 (2): 368–82. PMID 14750104.
- ↑ Couser WG (1998). "Pathogenesis of glomerular damage in glomerulonephritis". Nephrol Dial Transplant. 13 Suppl 1: 10–5. PMID 9507491.
- ↑ Atkins RC, Nikolic-Paterson DJ, Song Q, Lan HY (1996). "Modulators of crescentic glomerulonephritis". J Am Soc Nephrol. 7 (11): 2271–8. PMID 8959617.
- ↑ Jennette JC (March 2003). "Rapidly progressive crescentic glomerulonephritis". Kidney Int. 63 (3): 1164–77. doi:10.1046/j.1523-1755.2003.00843.x. PMID 12631105.
- ↑ Schwartz N, Goilav B, Putterman C (September 2014). "The pathogenesis, diagnosis and treatment of lupus nephritis". Curr Opin Rheumatol. 26 (5): 502–9. doi:10.1097/BOR.0000000000000089. PMC 4221732. PMID 25014039.
- ↑ Giannico G, Fogo AB (2013). "Lupus nephritis: is the kidney biopsy currently necessary in the management of lupus nephritis?". Clin J Am Soc Nephrol. 8 (1): 138–45. doi:10.2215/CJN.03400412. PMID 22977215.
- ↑ Baker, R. J.; Pusey, C. D. (2004). "The changing profile of acute tubulointerstitial nephritis". Nephrology Dialysis Transplantation. 19 (1): 8–11. doi:10.1093/ndt/gfg464. ISSN 0931-0509.
- ↑ Kelly C, Tomaszewski J, Neilson E. Immunopathogenic mechanisms of tubulointerstitial injury. In: Tisher C, Brenner B, eds, Renal Pathology: With Clinical and Functional Correlations, 2nd Edn., Vol. 1. J. B. Lippincott & Co, Philadelphia, PA, 1994; 699–722
- ↑ Dharmarajan TS, Yoo J, Russell RO, Boateng YA. Acute post streptococcal interstitial nephritis in an adult and review of the literature. Int Urol Nephrol 1999; 31:145
- ↑ Hochreiter W, Knoll T, Hess B (February 2003). "[Pathophysiology, diagnosis and conservative therapy of non-calcium kidney calculi]". Ther Umsch (in German). 60 (2): 89–97. doi:10.1024/0040-5930.60.2.89. PMID 12649987.
- ↑ Trinchieri A (February 2013). "Diet and renal stone formation". Minerva Med. 104 (1): 41–54. PMID 23392537.
- ↑ Cohen HT, McGovern FJ (2005). "Renal-cell carcinoma". N Engl J Med. 353 (23): 2477–90. doi:10.1056/NEJMra043172. PMID 16339096.
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|month=
ignored (help) - ↑ F. Llach, S. Papper & S. G. Massry (1980). "The clinical spectrum of renal vein thrombosis: acute and chronic". The American journal of medicine. 69 (6): 819–827. PMID 7446547. Unknown parameter
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ignored (help) - ↑ Pagnoux C (2016). "Updates in ANCA-associated vasculitis". Eur J Rheumatol. 3 (3): 122–133. doi:10.5152/eurjrheum.2015.0043. PMID 27733943.
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- ↑ John N. Krieger, Ulrich Dobrindt, Donald E. Riley & Eric Oswald (2011). "Acute Escherichia coli prostatitis in previously health young men: bacterial virulence factors, antimicrobial resistance, and clinical outcomes". Urology. 77 (6): 1420–1425. doi:10.1016/j.urology.2010.12.059. PMID 21459419. Unknown parameter
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ignored (help) - ↑ Sharp VJ, Takacs EB, Powell CR (2010). "Prostatitis: diagnosis and treatment". Am Fam Physician. 82 (4): 397–406. PMID 20704171.
- ↑ McNagny SE, Parker RM, Zenilman JM, Lewis JS (1992). "Urinary leukocyte esterase test: a screening method for the detection of asymptomatic chlamydial and gonococcal infections in men". J. Infect. Dis. 165 (3): 573–6. PMID 1538163.
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