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40
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Text
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Pages
1667–1678
Issue
11
Volume
35
Dublin Core
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Title
A name given to the resource
Polycystic kidney disease: detecting and managing extrarenal complications.
Publisher
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Consultant (00107069)
Date
A point or period of time associated with an event in the lifecycle of the resource
1995
1995-11
Subject
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Adult; Female; Antibiotics; Male; Middle Age; Hereditary Diseases; Kidney Diseases – Complications; Kidney Diseases – Diagnosis; Kidney Diseases – Therapy
Creator
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Rutecki G W; Whittier F C
Description
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Autosomal dominant polycystic kidney disease (ADPKD), the most common inherited disorder in this country, is more than just a renal disease. Major extrarenal sites are the cardiovascular system, liver, and GI tract. The most devastating cardiovascular abnormalities are occult CNS aneurysms; screening for such lesions is indicated in selected patients, including those with a family history of both ADPKD and berry aneurysms. Liver cysts are a common manifestation of ADPKD; hormonal factors may cause these cysts to enlarge during pregnancy. Colonic diverticula affect most patients with ADPKD; consider diverticular rupture in your differential diagnosis when a patient presents with abdominal pain or peritoneal signs. Instrumentation (eg, cystoscopy) increases the risk of urinary tract infection in ADPKD patients and should be avoided when possible.
Rights
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Article information provided for research and reference use only. All rights are retained by the journal listed under publisher and/or the creator(s).
1995
Adult
Antibiotics
Consultant (00107069)
Department of Internal Medicine
Female
Hereditary Diseases
Kidney Diseases – Complications
Kidney Diseases – Diagnosis
Kidney Diseases – Therapy
Male
Middle Age
NEOMED College of Medicine
Rutecki G W
Whittier F C