renal masses

renal masses

1. ultrasound scan

   • ix abdo mass IDed on palpating abdo

2. causes of palpable kidneys

   • unilateral
     • multicystic kidney
     • compensatory hypertrophy
     • obstructed hydronephrosis
     • renal tumour (Wilms tumour)
     • renal vein thrombosis
   • bilateral
     • autosomal recessive (infantile) polycystic kidneys
       • assoc w/
         • hypertension
         • hepatic fibrosis
         • progression to chronic renal failure
     • autosomal dominant (adult) polycystic kidneys
       • more benign prognosis in childhood
       • onset of renal failure in adulthood
     • tuberous sclerosis
     • renal vein thrombosis