Presentation
Patients usually present with hypertension and varying degrees of renal impairment, although silent renal artery stenosis may be present in many patients with vascular disease. [bmj.com]
These are surgical emergencies and immediate presentation to the emergency department is warranted. These conditions present with sudden onset of severe constant abdominal pain that may be associated with vomiting, diarrhoea and fever. [northernsydneyvascular.com.au]
Presentation The condition may present in a variety of ways and is usually asymptomatic. The following clinical scenarios are relatively common modes of presentation: Hypertension: Abrupt onset of hypertension in middle-aged or older patients. [patient.info]
Herein, we present the first published use of cryoplasty for treatment of a patient with FMD of the renal artery. [vasculardiseasemanagement.com]
Evidence for a role in the one-kidney one-clip model of RVHT has been presented but is not clear or definitive. [emedicine.medscape.com]
Cardiovascular
- Hypertension
(no RBC casts) Renal azotemia Malignant hypertension page 411 0 page 412 Epidemiology Sudden onset of accelerated hypertension (1) May occur in normotensive individuals (2) May occur in those with BNS (most common) (3) May occur as a complication of [memorize.com]
[…] secondary to other renal disorders I15.2 Hypertension secondary to endocrine disorders I15.8 Other secondary hypertension I15.9 Secondary hypertension, unspecified I16 Hypertensive crisis I16.0 Hypertensive urgency I16.1 Hypertensive emergency I16.9 [icd10data.com]
Secondary hypertension is a type of hypertension with an underlying, potentially correctable cause. [aafp.org]
The following clinical scenarios are relatively common modes of presentation: Hypertension: Abrupt onset of hypertension in middle-aged or older patients. Severe hypertension. Hypertension resistant to standard medical therapy. [patient.info]
Musculoskeletal
- Osteoporosis
Stenosis Lumbar Puncture Malaria Malnourishment, Adult Medical Decision-Making Capacity Melanoma Meningitis, Adult Menopause Migraine Mononucleosis Murmur, Diastolic Murmur, Systolic Myasthenia Gravis Myocardial Infarction Opiates and Abdominal Pain Osteoporosis [jamaevidence.mhmedical.com]
Psychiatrical
- Fear
The clinical hallmark of this condition is fear of food with abdominal pain that develops approximately 30 minutes after eating. The typical patient is usually female, heavy smoker who avoids food with profound weight loss. [northernsydneyvascular.com.au]
This test cannot be done in patients with metal implants, pacemakers, or claustrophobia ( fear of closed spaces ). It may be used in people with mild to moderate, but not severe, kidney problems. [medicinenet.com]
Urogenital
- Kidney Failure
Increased urea (a waste product made by the kidneys) in the blood. Unexplained kidney failure. [hopkinsmedicine.org]
If only one kidney is affected, the healthy kidney may take over filtering the blood and producing urine. If you have only one working kidney, arterial occlusion leads to acute kidney failure. This can develop into chronic kidney failure. [ufhealth.org]
[…] severe hypertension to kidney failure. [scripps.org]
- Oliguria
In general, but not invariably, the second of these phases is characterized by a low output of urine ( oliguria) and the third by an increasing urine output (polyuria). [britannica.com]
STEC-HUS : This form, also called the classical form, presents after or during an episode of diarrheal disease, there is acute renal failure with oliguria, proteinuria, hematuria, anemia and thrombocytopenia. [kidneypathology.com]
Workup
Serum
- Abnormal Renal Function
[…] hypertension, abnormal renal function, or volume overload Epidemiology prevalence 7% in the United States present in up to 1/3 of patients with malignant or resistant hypertension demographics atherosclerotic disease patients > 50 years of age fibromuscular [medbullets.com]
Functional aspects Effects of abnormal renal function on body fluid Renal disease in its diverse forms can lead to bodily deficits or excesses of water, sodium, potassium, and magnesium, and also to protein deficits occasioned by great losses of protein [britannica.com]
Treatment
treatment options for vascular diseases. [loyolamedicine.org]
Treatment of Atheroembolic Renal Disease: Treatment of atheroembolic renal disease depends on the extent of the disease and the individual situation. [surgery.med.miami.edu]
Type of renal vascular disease Treatment Renal artery stenosis Medical treatment: Blood pressure lowering medicines to treat high blood pressure Medicines to lower cholesterol for atherosclerosis Treatment of related medical conditions such as diabetes [massgeneral.org]
Prognosis
Treatment and prognosis treatment of nephrotic syndrome: steroids and immune-suppression therapy treatment of underlying renal cell cancer includes surgery for early-stage disease anticoagulation therapy Complications Recognized complications of renal [radiopaedia.org]
The prognosis is variable depending upon the severity of lesions, whether unilateral or bilateral, comorbidities and co-existing atherosclerotic disease, age and response to medical or surgical therapy. [patient.info]
Outlook (Prognosis) Damage caused by arterial occlusion may go away. However, in most cases, it is permanent. If only one kidney is affected, the healthy kidney may take over filtering the blood and producing urine. [ufhealth.org]
HUS cases in endemic outbreaks have a better prognosis. The severity of systemic hypertension and duration of anuria are also factors related to prognosis. [kidneypathology.com]
and hypernatremia bilateral renal stenosis can lead to volume overload heart failure pulmonary edema Associated conditions other manifestations of atherosclerotic disease carotid artery disease lower extremity artery disease coronary heart disease Prognosis [medbullets.com]
Etiology
Therefore, all children with confirmed hypertension should have an evaluation for an underlying etiology that includes renal ultrasonography. [aafp.org]
There are numerous etiologies for bland thrombus, but it most commonly occurs in the hypercoagulable nephrotic syndrome. [radiopaedia.org]
RENAL INVOLVEMENT IN SYSTEMIC ARTERIAL HYPERTENSION Systemic arterial hypertension (high blood pressure - HBP) has been classified according to etiology in essential, primary or idiopathic (unknown cause) and secondary (caused by other conditions). [kidneypathology.com]
KTWS is an uncommon disease (only 310 cases have been published) due to a congenital malformation of the deep venous system with agenesis, hypoplasia or segmental atresia, the etiology is not clear however seems to be related with diffuse mesodermal abnormalities [biomed.uninet.edu]
Epidemiology
Causes tubular atrophy, interstitial fibrosis, glomerular sclerosis Small kidneys with a finely granular cortical surface (Fig. 19-12) Laboratory findings Mild proteinuria Hematuria (no RBC casts) Renal azotemia Malignant hypertension page 411 0 page 412 Epidemiology [memorize.com]
[…] renal arteries this often causes renovascular hypertension grade 1 – RAS (Renal artery stenosis) with no clinical symptoms grade 2 – RAS with controlled hypertension grade 3 – RAS with resistant hypertension, abnormal renal function, or volume overload Epidemiology [medbullets.com]
Epidemiology [ 3 ] The prevalence of atherosclerotic renal artery stenosis is high - about 7% in individuals older than 65 years and about 50% in patients with diffuse arterial disease, and it is increasingly frequent in an ageing population. [patient.info]
Epidemiology of hypertensive kidney disease. Nat Rev Nephrol. 2011;7(1):11-21. [ PubMed link ] Hart PD, Bakris GL. Hypertensive nephropathy: prevention and treatment recommendations. [kidneypathology.com]
Pathophysiology
In order to provide the latest and most sophisticated treatment, cardiology physicians must possess current knowledge of a vast amount of translational research in the pathophysiology of structural heart disease and its associated disorders as well as [books.google.com]
The pathophysiology of unilateral renal artery stenosis provides a clear example of how hypertension develops. [bmj.com]
pathophysiology narrowing of artery lumen due to atherosclerosis fibromuscular dysplasia narrowed arteries lead to reduced renal perfusion reduced perfusion leads to activation of renin-angiotensin system increased renin → hypertension, hypokalemia, [medbullets.com]
Renal vascular generation of eicosanoids is altered in pathophysiological conditions such as hypertension, diabetes, metabolic syndrome and acute renal failure. [clinsci.org]
The propensity for angiotensin receptor blockers (ARBs) to affect GFR adversely is based on similar pathophysiology. [emedicine.medscape.com]
Prevention
The goal is to prevent it from getting worse. Renovascular disease can't always be prevented, although its development can be slowed down by controlling conditions that can cause it, such as high blood pressure and diabetes. [medigoo.com]
Prevention In many cases, the disorder is not preventable. The most important way to reduce your risk is to stop smoking. People at risk for developing blood clots may need to take anti-clotting medicines. [ufhealth.org]
By detecting carotid arterial disease early, we can take quick action to prevent a stroke. [fayettevillevascular.com]
A stent may be inserted to prevent the artery from becoming blocked again and to improve blood flow. [wexnermedical.osu.edu]
When we sit or rest, valves within the veins close to prevent the blood from flowing back into the legs and feet. [secondscount.org]