• Asterixis - seen in many forms of organ failure with toxic metabolic encephalopathy, characterized by loss of postural tone rather than an active movement
  
  

  Posted 05/04/17 10:06:15 AM by Anna Krigel

• Monoclonal gammopathy, paraproteinemia
  • monoclonal proteins produced by clonal plasma cells
  • can get renal tissue deposition or precipitation of monoclonal immunoglobulin in the setting of AL amyloid, light chain proximal tubulopathy, and proliferative GN
  • will see significant proteinuria but low amount of microalbumin (non-albumin proteinuria), indicating the presence of other proteins or paraproteins
  
  

  Posted 05/04/17 10:27:22 AM by Anna Krigel

• Bilateral enlargement of kidneys - usually indicative of an infiltrative disease like amyloidosis or lymphoma, or of IgG4-related disease
  
  

  Posted 05/04/17 10:28:44 AM by Anna Krigel

• Renal Masses
  • Malignant
    • Renal cell carcinoma - ~90% of malignant neoplasms of the kidney, teaching point: RCC does not cause renal failure
    • Metastasis
    • Lymphoma
  • Benign
    • Renal cyst
    • Oncocytoma
    • Angiomyolipoma
    • Metanephric adenoma
    • Xanthogranulomatous pyelonephritis
  
  

  Posted 05/04/17 10:31:22 AM by Anna Krigel

• Primary renal lymphoma
  • extremely rare and highly aggressive
  • causes renal failure via infiltration of the renal parenchyma
  • has been reported to be caused by many classes of non-Hodgkin lymphoma
  • diagnosis made via renal biopsy
  
  

  Posted 05/04/17 10:37:05 AM by Anna Krigel

Created by Christopher Kelly

Know a hypochondriac? Get them the best-selling book 'AM I DYING?!: A Complete Guide to Your Symptoms, and What to Do Next'
The information on the website does not constitute official guidelines except where explicitly stated.
It is not meant to replace the advice of a health professional.