Can PKD be misdiagnosed

Can PKD be misdiagnosed

Any disease has the possibility of misdiagnosis.

Polycystic kidney disease may have confusion and multiple cysts, but the polycystic kidney, especially adult polycystic kidney, have a clear family history, and often after the onset of renal damage, obviously.

The diagnosis of polycystic kidney disease is generally not difficult, according to the clinical history of familial (parents, brothers, sisters, children have polycystic disease), bilateral renal enlargement and proteinuria in diagnosis, ultrasound diagnosis of role play. The kidney of the abdomen is irregular and irregularly enlarged. The double kidney showed obvious enlargement, the kidney was full of the liquid dark area with different sizes, and the structure of the normal kidney disappeared. In addition, intravenous pyelography or retrograde pyelography is also helpful in diagnosis. The renal pelvis is elongated and the renal pelvis flattened or half shaped. In the early stage, we may see only one side of the change, but in the late stage, it can not develop because of renal insufficiency, so we must have a large amount of intravenous pyelography before we can make a definite diagnosis. Most patients have early changes in renal concentration, such as lower urinary gravity, lower urinary infiltration, and increased urinary output, and late renal failure and uremia.

The general symptoms of polycystic kidney disease will not be obvious. Occasionally there will be lumbar soreness, waist swelling. Because the obstruction after cyst compression affects the blood supply to the kidneys. This is the main reason why the patient progresses to kidney failure. After a series of tests, it should not be misdiagnosed, or it is better to be treated in time.

 

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