RT Book, Section
A1 Smith, Mindy A.
A2 Usatine, Richard P.
A2 Sabella, Camille
A2 Smith, Mindy Ann
A2 Mayeaux, E.J.
A2 Chumley, Heidi S.
A2 Appachi, Elumalai
SR Print(0)
ID 1114872775
T1 Polycystic Kidneys
T2 The Color Atlas of Pediatrics
YR 2015
FD 2015
PB McGraw-Hill Education
PP New York, NY
SN 978-0-07-176701-9
LK accesspediatrics.mhmedical.com/content.aspx?aid=1114872775
RD 2024/04/20
AB A  17-year-old  boy  is  seen  in  the  office  with  mild  abdominal  pain  and  blood  in  his  urine  noticed  after  playing  football  with  his  friends.  Exam  is  significant  only  for  left  flank  tenderness  and  his  vital  signs,  including  blood  pressure,  are  normal.  His  urine  tests  positive  for  blood  (3+)  and  1+  protein;  microscopic  urinalysis  reveals  numerous  red  blood  cells  but  no  white  blood  cells  or  casts.  On  further  questioning,  his  mother  reports  that  the  boy’s  father  and  paternal  aunt  have  some  type  of  “kidney  problem”  but  she  and  his  father  have  been  divorced  for  many  years  and  he  rarely  sees  his  father.  An  ultrasound  reveals  bilateral  enlarged  kidneys  with  multiple  cysts  and  a  calculus  in  the  left  kidney.  A  CT  scan  confirms  the  diagnoses  (Figure  66-1).