**** The article will have four parts:
- Some specialized English terms.
- Features of Diagnostic Imaging
- For example
1. Some specialized English terms in the lesson:
Medical renal disease refer to a host of diseases that preeminent affect the renal parenchyma: Medical renal disease refers to a variety of diseases
mainly affects the renal parenchyma.
Renal parenchyma disease: Renal parenchymal disease
Chronic kidney disease (CKD): Chronic kidney disease.
Acquired cystic kidney disease (ACKD) is a condition that occurs in patients with end-stage renal disease (ESRD), especially when on dialysis treatment. They do not have a history of other cystic renal disease.
-> Acquired cystic kidney disease (ACKD) is a condition that occurs in patients with end-stage renal disease (ESRD), especially when the Patient has Renal Replacement Therapy (RRT) also called renal dialysis or just dialysis). The patient had no history of other renal cystic disease.
Many different diseases can affect and damage the kidney parenchyma, the most common are:
Diabetes (diabetic kidney disease)
Polycystic kidney disease
3. Diagnostic Imaging Features
In the early stages of “Medical renal disease”the kidney may seem normal. Then changes in sound structure occur, but usually will not be specific for any cause.
There is no specific picture for CKD and diagnosis is based on clinical and laboratory findings. Imaging tests, especially ultrasound, are done in most cases to find the etiology (eg, renal artery stenosis, polycystic kidney disease, hydronephrosis) and to monitor treatment. .
Ultrasound with Doppler of intrarenal vessels is commonly performed in CKD patients, and is usually normal.
The typical B-mode ultrasound images of chronic (especially stage 5) severe chronic kidney disease are:
Decreased renal cortical thickness: <6 mm. (this indicator is more reliable than length)
Reduced kidney length.
Increased cortical echo***
QPoor observation of renal pyramids and renal sinuses
Renal border abnormalities
Renal pyramidal calcification
Nang (see also: Acquired cystic kidney disease (ACKD))
Abnormal Doppler findings in these patients are:
WOODdecreased renal blood vessels
Increased impedance index (RI) values (segmental and interlobular arteries)
***Although increased echogenicity suggests parenchymal abnormality, the etiology cannot be determined. Hyperechoicity is when the right kidney echogenicity is higher than that of the liver or when The echogenicity of the left kidney is equal to or greater than that of the spleen. If renal-to-liver or spleen correlation images are not available, renal echogenicity is considered elevated if the renal pyramids abnormally low tone relative to the renal cortex. In In most cases, patients with renal parenchymal disease are examined for acute renal failure. In this case, it is not uncommon to see a small amount of fluid around the kidney and this will should not be misinterpreted as a sign of infection or injury (see Image. 573D). The main role of ultrasound in these patients is to rule out urinary tract obstruction and determine kidney size.
Renal parenchymal disease in different patients:
Follow along with other articles to foster more medical knowledge and medical English terms at anhvanyds.com homepage. Looking forward to everyone’s comments on the translation.
BS. Vo Thi Thanh Huong
Ultrasound The Requisites 3
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