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47 Possible Causes for Abnormal Corticomedullary Differentiation, Hematuria

  • Hydronephrosis

    A 67-year-old woman was referred to the urology clinic for abdominal pain and hematuria. Urine analysis showed microscopic hematuria.[] Perinephric urinoma Keyhole sign Loss of renal parenchyma, as suggested by: (i) cortical thinning, (ii) poor corticomedullary differentiation, (iii) increased renal echogenicity[] Microscopic hematuria was not seen. Computed tomography showed the horseshoe kidney and left hydronephrosis.[]

  • Cystic Kidney

    Hematuria is also managed conservatively with bedrest and intravenous hydration, and most episodes of hematuria are self-limiting and last 2 to 7 days.[] Kidney size is either normal or reduced in MCKD, and ultrasound demonstrates increased echogenicity, loss of corticomedullary differentiation, and medullary cysts ( Figure[] […] increased size of kidneys, a bright echotexture (hyperechogenicity) and a loss of the normal corticomedullary differentiation.[]

  • Renal Abscess

    […] of Cystitis are chief complaint - A strong, persistent urge to urinate -A burning sensation when urinating -Passing frequent, small amounts of urine -Blood in the urine (hematuria[] US of acute pyelonephritis US abnormalities (20 %) Renal enlargement ( 15 cm – affected kidney 1.5 cm longer ) Hypoechoic renal parenchyma Loss of corticomedullary differentiation[] Today we discussed the case of a young man presenting with RLQ/flank pain and hematuria, found on imaging to have a renal abscess vs mass![]

  • Acute Nephritis

    […] lesions leading to hematuria in nephritis and in the nephrotic syndrome.[] Abdominal ultrasound showed kidneys measuring 146 mm with preserved corticomedullary differentiation and no signs of hydronephrosis.[] Acute nephritis or unexplained hematuria developed in 10 of 42 children (23.8%) with Type 49 streptococcal skin infection, in 2 of 44 (4.5%) with Type 49 throat infection,[]

  • Renal Arteriovenous Fistula

    The patient made an uneventful recovery with no further hematuria and progressive reduction of blood pressure.[] Apart from graft swelling or enlargement, there can be obscured corticomedullary differentiation, decreased echogenicity, and scattered heterogenous areas of increased echogenicity[] Gross hematuria resulted from AVF erosion into the collecting system.[]

  • Renal Artery Thrombosis

    Renal artery thrombosis after blunt trauma presented without other injury, without external signs of trauma, and without hematuria in the case reported.[] Renal parenchyma The superficial location of the renal transplant allows for normal corticomedullary differentiation of the renal parenchyma, with the medullary pyramids being[] She had gross hematuria which was ignored initially.[]

  • Medullary Cystic Kidney Disease

    Urinalysis showed occult hematuria and proteinuria(1.06 g/gCr). /β2- microglobulin 45,000 μg/ L, N-acetyl-/β-D-glucosaminidase 5.6 U/L.[] Histological examination usually reveals abnormalities in ductal differentiation and minimal corticomedullary differentiation.[] , P- 2360) Medullary sponge kidney is a disorder, usually sporadic, or AD , occur due to dilatation of terminal part of collecting ducts (duct of Balani) that present as hematuria[]

  • Tumor Lysis Syndrome

    Symptoms can include nausea, vomiting, diarrhea, anorexia, lethargy, hematuria, arrhythmias, cramps, seizures, and other nonspecific symptoms.[] The ultrasonographic image on the right shows a kidney from a patient with the tumor lysis syndrome, in which there is loss of the normal corticomedullary differentiation[] Uricemia can also result in a blockage of the ureter(s), causing hematuria, flank pain, oliguria, hypertension, fluid overload (CHF and edema), lethargy, and cloudy, sediment[]

  • AIDS-Associated Nephropathy

    IgA nephropathy a chronic form marked by hematuria and proteinuria and by deposits of IgA immunoglobulin in the mesangial areas of the renal glomeruli, with subsequent reactive[] […] globular, and 38% had decreased corticomedullary differentiation.[] […] disease (although it is seen in patients with less advanced disease and acute HIV infections) heavy proteinuria rapid decline in renal function other manifestations include hematuria[]

  • Renal Transplant Rejection

    Nephrectomy of the transplanted kidney is necessary if hematuria, graft tenderness, or fever develops after immunosuppressants are stopped.[] Renal parenchyma The superficial location of the renal transplant allows for normal corticomedullary differentiation of the renal parenchyma, with the medullary pyramids being[] The patient develops pain and swelling over the graft site, as well as dark hematuria and diminished urine volume.[]

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