Enlarged kidneys
Cystic kidney
Hepatic fibrosis
What is autosomal RECESSIVE polycystic kidney disease?
Part of the regulatory cascade for EPO synthesis and a risk factor for renal cell carcinoma.
What is the von Hippel-Lindau tumor suppressor gene?
CHROMOSOME 16
CHROMOSOME 4
What are the gene locations for ADPCKD?
PKD-1 gene, chromosome 16 = 90%
PKD-2 gene, chromosome 4 = 10%
RISK OF MALIGNANCY.
What is ALMOST ZERO?
What is a simple renal cyst?
German ophthalmologist, 1904
Swedish pathologist, 1927
Who are EUGEN VON HIPPEL and ARVID LINDAU?
von Hippel = described ocular angiomas
Lindau = described angiomas of cerebellum and spine
Only about 5%.
What is the risk of a BERRY ANEURYSM in the setting of ADPCKD?
Routine MRI imaging for ADPCKD looking for aneurysms is controversial due to the low incidence of the aneurysm formation.
Ectatic collecting system
Recurrent calcium kidney stones
What is MEDULLARY SPONGE KIDNEY?The renal pyramids are lined with calcification due to the ectatic collecting ducts and probable acid imbalance.
WOSNIAK
BOSNIAK
Who is the co-founder of Apple Computers (circa 1976)?
What is the classification system for renal cysts?
Dr. Morton Bosniak;; NYU Medical School
Renal cysts with SEPTATIONS and MICROCALCIFICATION with increasing size have increasing malignant potential.
What is ADENOMA SEBACEUM?
Adenoma sebaceum are angiofibromas of the skin typically seen in patients with TUBEROUS SCLEROSIS. Other features include HAMARTOMAS and ANGIOMYOLIPOMA of the KIDNEYS.
It is AUTOSOMAL DOMINANT.
KIDNEY
LIVER
PANCREAS
What are the common locations for cyst development in ADPCKD?
Genetic markers:
ANGIOMYOLIPOMA, RENAL CELL CARCINOMA
What are TUBEROUS SCLEROSIS (TSC gene) and VON-HIPPEL-LINDAU (VHL gene)?
Major complication in a very small percentage of ADPCKD patients?
What is a SACCULAR ANEURYSM? (BERRY ANEURYSM)
Neuro-ocular-cutaneous syndrome.
What is a PHAKOMATOSIS?
Phakomatosis is a constellation of abnormalities involving the eyes, CNS, and skin -- all are ectodermal origin embryologically.
Tuberous sclerosis is one such example.
What is a cerebellar hemangioblastoma?
What is one of Founding Dean Tomkowiak's favorite Star Wars figurines?
What is the first thing Andy seeks when he is imprisoned in "The Shawshank Redemption"?
What is a rock hammer?