[Autosomal dominant polycystic kidney disease].

S. Horie
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Abstract

Copyright © 2008 Massachusetts Medical Society. Shortly after being elbowed in the flank during a pickup basketball game, a 35-year-old healthy man has severe, colicky abdominal pain followed by gross hematuria. He is hospitalized, and a renal ultrasound scan reveals bilateral polycystic kidneys and liver cysts, previously unknown to the patient. The blood pressure is 160/100 mm Hg. The serum creatinine concentration is 0.9 mg per deciliter (80 μmol per liter). The pain subsides in 2 days with analgesics, rest, and fluids; the gross hematuria resolves in 4 days, although microscopic hematuria persists. How should his case be further evaluated and managed?
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[常染色体显性多囊肾病]。
版权所有©2008马萨诸塞州医学协会。一名35岁的健康男子在一场篮球比赛中被肘击腹部后不久,出现了严重的绞痛性腹痛,并伴有明显的血尿。他住院,肾脏超声扫描显示双侧多囊肾和肝囊肿,患者以前不知道。血压160/100 mm Hg,血清肌酐浓度为0.9 mg /分升(80 μmol / l)。止痛、休息和补液后2天疼痛消退;肉眼血尿在4天内消失,但镜下血尿持续存在。如何进一步评估和管理他的病例?
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[Autosomal dominant polycystic kidney disease]. [Diabetic nephropathy]. [Nephrogenic diabetes insipidus]. [Membranous nephropathy]. [Effect of the angiotensin II receptor antagonist (ARB), Irbesartan, on urinary markers in hypertensive patients].
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