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Questions and Answers
What is the term for the absence of one kidney?
What is the term for the absence of one kidney?
Which syndrome is characterized by the absence of both kidneys?
Which syndrome is characterized by the absence of both kidneys?
What anomaly involves the presence of a third kidney?
What anomaly involves the presence of a third kidney?
What is compensatory hypertrophy?
What is compensatory hypertrophy?
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What condition requires renal arteriography for accurate diagnosis?
What condition requires renal arteriography for accurate diagnosis?
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Which of the following is typically more subject to trauma due to its size?
Which of the following is typically more subject to trauma due to its size?
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What is usually associated with a hypoplastic kidney?
What is usually associated with a hypoplastic kidney?
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What is the incidence rate of renal agenesis in live births?
What is the incidence rate of renal agenesis in live births?
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Study Notes
Development of the Urinary System
- The urinary system in an embryo develops in three stages, starting with the formation of the kidneys from the ureteric duct and metanephric tissue.
- Abnormal growth during development can lead to kidney formation issues.
Renal Agenesis and Aplasia
- Renal agenesis or aplasia occurs in approximately 1 in 1000 live births.
- This condition is more prevalent in males than females.
- Detected through prenatal sonography; usually presents as the absence of one kidney and compensatory hypertrophy of the other.
- Unilateral renal agenesis most commonly involves the absence of the left kidney.
- The enlarged kidney is vulnerable to trauma and complications, highlighting the need for disease protection in individuals with a single kidney.
Potter Syndrome
- Potter syndrome refers to the absence of both kidneys (bilateral agenesis).
- This condition is also more common in males and is incompatible with life.
- Nearly 50% of infants with Potter syndrome are stillborn; those who survive typically die within 4 hours of birth.
Supernumerary Kidney
- A supernumerary kidney is a rare anomaly characterized by an additional small, rudimentary kidney.
- It typically has no parenchymal attachment and may drain into the ureter independently.
- Symptoms often arise due to infection associated with the supernumerary kidney.
Hypoplasia and Hyperplasia
- Hypoplasia refers to a kidney that develops under-sized but contains normal nephrons; usually accompanied by hyperplasia of the other kidney.
- Differentiation between congenital hypertrophic changes and acquired vascular atrophy may require renal arteriography.
- The clinical significance of hypoplasia depends on the volume of the functioning kidney, with hypertension frequently associated.
- Hyperplasia involves the overdevelopment of a kidney and is often linked to conditions such as renal agenesis or hypoplasia in the other kidney.
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Description
Explore the three stages of urinary system development in embryos, including the formation of kidneys from the ureteric duct. Understand the implications of renal agenesis, a rare anomaly, and its detection through prenatal sonography. This quiz covers key concepts related to abnormal kidney development in embryos.