A 38 year old woman presents with early satiety, flank discomfort, and episodic gross hematuria. Her father required dialysis in his 50s. Blood pressure is 156/92 mm Hg. Abdominal imaging shows bilaterally enlarged kidneys with numerous cortical and medullary cysts. Which of the following extra renal associations is most likely in this patient?
- A)Pulmonary hemorrhage
- B)Neural tube defect
- C)Sensorineural hearing loss
- D)Papillary thyroid cancer
- E)Berry aneurysmGABARITO
Explicação
Berry aneurysm is correct. Autosomal dominant polycystic kidney disease is caused by mutations in PKD1 or PKD2 and presents with enlarged cystic kidneys, hematuria, flank pain, and hypertension. Important associations include intracranial berry aneurysms, hepa... Ver explicação completa e trilha adaptativa →