Renal agenesis physical examination: Difference between revisions
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__NOTOC__ | __NOTOC__ | ||
{{Renal agenesis}} | {{Renal agenesis}} | ||
{{CMG}} {{AE}} {{SHA}} | |||
== Overview == | == Overview == | ||
== Physical Examination == | == Physical Examination == | ||
URA have an increased incidence of proteinuria, hypertension, and renal insufficiency. Therefore, patients, even those with normal solidary kidney, should be followed up with: | URA have an increased incidence of proteinuria, hypertension, and renal insufficiency. Therefore, patients, even those with normal solidary kidney, should be followed up with:<ref name="pmid1457321">{{cite journal| author=Argueso LR, Ritchey ML, Boyle ET, Milliner DS, Bergstralh EJ, Kramer SA| title=Prognosis of patients with unilateral renal agenesis. | journal=Pediatr Nephrol | year= 1992 | volume= 6 | issue= 5 | pages= 412-6 | pmid=1457321 | doi=10.1007/BF00873996 | pmc= | url=https://www.ncbi.nlm.nih.gov/entrez/eutils/elink.fcgi?dbfrom=pubmed&tool=sumsearch.org/cite&retmode=ref&cmd=prlinks&id=1457321 }} </ref><ref name="pmid30734167">{{cite journal| author=Xu Q, Wu H, Zhou L, Xie J, Zhang W, Yu H | display-authors=etal| title=The clinical characteristics of Chinese patients with unilateral renal agenesis. | journal=Clin Exp Nephrol | year= 2019 | volume= 23 | issue= 6 | pages= 792-798 | pmid=30734167 | doi=10.1007/s10157-019-01704-x | pmc= | url=https://www.ncbi.nlm.nih.gov/entrez/eutils/elink.fcgi?dbfrom=pubmed&tool=sumsearch.org/cite&retmode=ref&cmd=prlinks&id=30734167 }} </ref> | ||
* Blood pressure | * Blood pressure | ||
| Line 16: | Line 16: | ||
** Hyperuricemia | ** Hyperuricemia | ||
URA may be isolated or associated with other anomalies and malformations. Therefore, screening and checking for other contralateral congenital anomaly of kidney or urinary tract (CAKUT) and extra-renal anomalies should be considered when URA is diagnosed. The following may be important to consider in the physical exam of URA: | URA may be isolated or associated with other anomalies and malformations. Therefore, screening and checking for other contralateral congenital anomaly of kidney or urinary tract (CAKUT) and extra-renal anomalies should be considered when URA is diagnosed. The following may be important to consider in the physical exam of URA:<ref name="pmid28722320">{{cite journal| author=Laurichesse Delmas H, Kohler M, Doray B, Lémery D, Francannet C, Quistrebert J | display-authors=etal| title=Congenital unilateral renal agenesis: Prevalence, prenatal diagnosis, associated anomalies. Data from two birth-defect registries. | journal=Birth Defects Res | year= 2017 | volume= 109 | issue= 15 | pages= 1204-1211 | pmid=28722320 | doi=10.1002/bdr2.1065 | pmc= | url=https://www.ncbi.nlm.nih.gov/entrez/eutils/elink.fcgi?dbfrom=pubmed&tool=sumsearch.org/cite&retmode=ref&cmd=prlinks&id=28722320 }} </ref><ref name="pmid23449343">{{cite journal| author=Westland R, Schreuder MF, Ket JC, van Wijk JA| title=Unilateral renal agenesis: a systematic review on associated anomalies and renal injury. | journal=Nephrol Dial Transplant | year= 2013 | volume= 28 | issue= 7 | pages= 1844-55 | pmid=23449343 | doi=10.1093/ndt/gft012 | pmc= | url=https://www.ncbi.nlm.nih.gov/entrez/eutils/elink.fcgi?dbfrom=pubmed&tool=sumsearch.org/cite&retmode=ref&cmd=prlinks&id=23449343 }} </ref> | ||
* Urinary tract | * Urinary tract | ||
Revision as of 11:51, 1 August 2020
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Editor-In-Chief: C. Michael Gibson, M.S., M.D. [1] Associate Editor(s)-in-Chief: Shakiba Hassanzadeh, MD[2]
Overview
Physical Examination
URA have an increased incidence of proteinuria, hypertension, and renal insufficiency. Therefore, patients, even those with normal solidary kidney, should be followed up with:[1][2]
- Blood pressure
- Check for hypertension
- Urinalysis
- Proteinuria
- Hematuria
- Renal insufficiency
- Hyperuricemia
URA may be isolated or associated with other anomalies and malformations. Therefore, screening and checking for other contralateral congenital anomaly of kidney or urinary tract (CAKUT) and extra-renal anomalies should be considered when URA is diagnosed. The following may be important to consider in the physical exam of URA:[3][4]
- Urinary tract
- Associated CAKUT
- VUR
- PUJO
- PUV
- Duplex kidney
- Ureterocele
- Megaureter
- Associated CAKUT
- Urinary tract infection
- Associated extra-renal anomalies
- Skull
- Spine
- Skeleton
- Face
- Thorax
- Heart
- Lung
- Genital tract
- Female tract anomalies
References
- ↑ Argueso LR, Ritchey ML, Boyle ET, Milliner DS, Bergstralh EJ, Kramer SA (1992). "Prognosis of patients with unilateral renal agenesis". Pediatr Nephrol. 6 (5): 412–6. doi:10.1007/BF00873996. PMID 1457321.
- ↑ Xu Q, Wu H, Zhou L, Xie J, Zhang W, Yu H; et al. (2019). "The clinical characteristics of Chinese patients with unilateral renal agenesis". Clin Exp Nephrol. 23 (6): 792–798. doi:10.1007/s10157-019-01704-x. PMID 30734167.
- ↑ Laurichesse Delmas H, Kohler M, Doray B, Lémery D, Francannet C, Quistrebert J; et al. (2017). "Congenital unilateral renal agenesis: Prevalence, prenatal diagnosis, associated anomalies. Data from two birth-defect registries". Birth Defects Res. 109 (15): 1204–1211. doi:10.1002/bdr2.1065. PMID 28722320.
- ↑ Westland R, Schreuder MF, Ket JC, van Wijk JA (2013). "Unilateral renal agenesis: a systematic review on associated anomalies and renal injury". Nephrol Dial Transplant. 28 (7): 1844–55. doi:10.1093/ndt/gft012. PMID 23449343.