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Medicine

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Kidney

Question
16 out of 17
 

Which of the following is a contraindication to do kidney biopsy? (PNQ)



A Ectopic kidney
B Horseshoe kidney

C End stage kidneys
D All of the above

Ans. D All of the above

Extra Edge: Renal Biopsy

Indications include

1. Acute renal failure which is unresolving and for which a cause is not evident;

2. Nephrotic syndrome if one suspects a primary glomerular disease;

3. Proteinuria of 2 g/24h/1.73 m2 along with an abnormal urine sediment with or without functional deterioration;

4. Hematuria associated with an abnormal urine sediment or proteinuria;

5. Systemic diseases associated with kidney dysfunction, such as systemic lupus erythematosus, Goodpasture’s syndrome, and Wegener’s syndrome, to confirm the extent of renal involvement and to guide management;

6. Suspected transplant rejection, to differentiate it from other causes of acute renal failure and to guide management.

Contraindications include-

1. A solitary or ectopic kidney (exception: transplant allografts Q),

2. Horseshoe kidneyQ

3. Uncorrected bleeding disorder,

4. Severe uncontrolled hypertension,

5. Renal infection,

6. Renal neoplasm,

7. Hydronephrosis,

8. End – stage kidneys,

9. Congenital anomalies

Kidney Flashcard List

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