Cyst in Time
Not So Hipp
ABC of PCKD
Potpourri
100

Enlarged kidneys

Cystic kidney

Hepatic fibrosis

What is autosomal RECESSIVE polycystic kidney disease?

100

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?

100

CHROMOSOME 16

CHROMOSOME 4

What are the gene locations for ADPCKD?

PKD-1 gene, chromosome 16 = 90%

PKD-2 gene, chromosome 4 = 10%

100

RISK OF MALIGNANCY.

What is ALMOST ZERO?

200

What is a simple renal cyst?

200

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

200

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. 

200

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.

300

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. 

300

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. 

300

KIDNEY

LIVER

PANCREAS

What are the common locations for cyst development in ADPCKD?

300

Genetic markers:  

ANGIOMYOLIPOMA,  RENAL CELL CARCINOMA

What are TUBEROUS SCLEROSIS (TSC gene) and VON-HIPPEL-LINDAU (VHL gene)?

400

Major complication in a very small percentage of ADPCKD patients?

What is a SACCULAR ANEURYSM? (BERRY ANEURYSM)

400

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. 

400

What is a cerebellar hemangioblastoma?

400


What is one of Founding Dean Tomkowiak's  favorite Star Wars figurines?

500

What is the first thing Andy seeks when he is imprisoned in "The Shawshank Redemption"?

What is a rock hammer?

M
e
n
u