This is a 35 year old female who has been diagnosed with hyperparathyridism.
The DMS Program at Montgomery College offers three major concentrations of study- General (Abdominal, Ob/Gyn, Breast & Small Parts), Cardiac (Adult and Pediatric), and Vascular Technology. Upon successfully completing the DMS Program at MC, graduates are eligible to sit for their ARDMS National Board Exams. For more information on our Ultrasound Program, visit our website at http://www.Montgomerycollege.edu/dms
Jessica,
ReplyDeleteThis is a case of medullary nephrocalcinosis where there is markedly increase in the echogenicity of the renal medulla. common causes of nephrocalcinosis are hyperparathyroidism, renal tubular acidosis and medullary sponge kidney.
Irene, I agree with you 100%. If symptoms exist, they include nocturia, polyuria, and polydipsia from reduced urinary concentrating capacity; and possibly renal colic.
ReplyDeleteNephrocalcinosis described originally the deposition of calcium salts in the renal parenchyma in hyperparathyroidism.
ReplyDeleteThis appearance is different from that of calcification within the lumen of the collecting system, ureter, and bladder, which represents nephrolithiasis.
more addition of causes
•Renal papillary necrosis
•Immobilization
•Milk-alkali syndrome
•Sarcoidosis
•Hyperoxaluria
•Glucose-galactose malabsorption
In addition, a variety of conditions can cause bone destruction that is associated with hypercalcemia and hypercalciuria.
A variety of radiographic renal abnormalities have been associated with sickle cell disease, including renal enlargement, thickening of the renal cortex, focal hypertrophy, papillary necrosis, and changes associated with infection. However,it is rare cause of nephrocalcinosis.
also, usually most case of nephrocalcinosis is asymptomatic.
does anyone know how betweeen cortical and medullary nephrocalcinosis are different?
ZOULIATH SAID
ReplyDeleteNephrocalcinosis, once known as Albright's calcinosis after Fuller Albright, is a term originally used to describe deposition of calcium salts in the renal parenchyma due to hyperparathyroidism. It is now more commonly used to describe diffuse, fine, renal parenchymal calcification on radiology.During its early stages, nephrocalcinosis is visible on x-ray, and appears as a fine granular mottling over the renal outlines. These outlines eventually come together to form a dense mass. It is most commonly seen as an incidental finding with medullary sponge kidney on an abdominal x-ray. However, it may be severe enough to cause (as well as be caused by) renal tubular acidosis or even end stage renal failure, due to disruption of the renal tissue by the deposited calcium.
Great job! All of you are right. Please note the severe calcification of this patients renal pyramids. Do you think this patient will live a normal life?
ReplyDelete"Parathyroidectomy to remove enlarged adenomas is very helpful in primary hyperparathyroidism and results in a low recurrence rate [of calcium nodules]."
ReplyDeletehttp://emedicine.medscape.com/article/243911-treatment
"The goal of treatment is to reduce symptoms and prevent more calcium from being deposited in the kidneys.
Measures should be taken to reduce abnormal levels of calcium, phosphate, and oxalate in the blood. Medications that cause calcium loss will usually be stopped...
What to expect depends on the extent of complications and the cause of the disorder.
Although further deposits in the kidneys can be prevented with good treatment, deposits already formed usually cannot be eliminated. Extensive deposits of calcium in the kidneys does NOT always mean severe damage to the kidneys."
http://health.nytimes.com/health/guides/disease/nephrocalcinosis/overview.html
Here's an interesting study by NIH with regard to treatment and improved quality of life: "Nephrocalcinosis is accepted to contribute to the progression of renal failure. We have reviewed evidence that nephrocalcinosis is caused directly by the excess parathyroid hormone produced in renal disease. Evidence that hyperparathyroidism in uremic patients results from calcitriol deficiency and the mechanisms by which this comes about have been discussed. We have shown that renal secondary hyperparathyroidism can be eliminated or substantially reduced without increasing blood calcium using a low-dosage regimen of calcitriol. Decreasing PTH concentrations to or near normal alleviates this hormone's toxicity to many organs, including the kidneys. Potential benefits for the uremic patient include an increase in the quality and length of life. Calcitriol treatment provides a powerful means to reduce PTH concentration in uremic patients that may not be achieved with other methods. Further prospective clinical studies of uremic dogs and cats are warranted to document preservation of renal function and histology during calcitriol treatments."
ReplyDeletehttp://www.ncbi.nlm.nih.gov/pubmed/1410853
Hyperparathyroidism is overactivity of the parathyroid glands resulting in excess production of parathyroid hormone (PTH). The parathyroid hormone regulates calcium and phosphate levels and helps to maintain these levels. Excessive PTH secretion may be due to problems in the glands themselves, in which case it is referred to as primary hyperparathryroidism and which leads to hypercalcemia (raised calcium levels). It may also occur in response to low calcium levels, as encountered in various situations such as vitamin D deficiency or chronic kidney disease; this is referred to as secondary hyperparathyroidism.http://en.wikipedia.org/wiki/Hyperparathyroidism
ReplyDeleteNephrocalcinosis may be caused by a number of conditions:
ReplyDeleteExcess excretion of calcium by the kidney
Renal tubular acidosis
Medullary sponge kidney
Hypercalcemia (high calcium levels in the blood)
Renal cortical necrosis
Tuberculosis
Fragments of calcium oxalate or calcium phosphate may break free from the kidney and provide nuclei for formation of stones (nephrolithiasis). This may result in obstructive uropathy, possibly leading to eventual kidney failure if the obstructing stones are not passed in the urine or removed. This condition is relatively common in premature infants, partly from intrinsic kidney calcium losses and partly from enhanced calcium excretion when they are given loop diuretics.
www.steadyhealth.com
Nephrocalcinosis is associated with renal tubular acidosis in children with X-linked hypophosphatemia.
I enjoy reading an article that can make people think.
ReplyDeleteAlso, thank you for allowing me to comment!
My website - acme furniture sage microfiber sectional
I dugg some of you post as I cogitated they were very useful very helpful
ReplyDeletemy web-site aimbots
Afteг looking ovеr а number of the blog articlеs оn yοur ѕite,
ReplyDeleteІ reallу appreсiate уour ωаy of blоgging.
Ι book mаrκed it tο mу booκmaгk sitе list and ωill be chеcκing back soоn.
Tаke a look at mу webѕite too and tell me hοw yοu fееl.
Also vіsit my blog рοѕt :: abrir cuenta facebook
Hello friends, how is all, and ωhat you ωοulԁ lіke
ReplyDeletetο saу сoncernіng this paragraph, іn my ѵieω its
genuinеly amazing for me.
My рage :: www.yourspiritualgrowthcenter.com
You гeally make іt ѕeеm so еаsy with your prеsentatiοn but
ReplyDeleteΙ find thіs topіc to bе aсtuallу sοmething that I think I
would neveг understаnd. It seеms too соmplеx and extremеly broаd foг me.
I am lοoκіng forωard for уour next ρost,
I will trу to get thе hаng of it!
Here is my web page - crear facebook gratis
Superb post however I was wondering if you could write a litte more on
ReplyDeletethis topic? I'd be very grateful if you could elaborate a little bit more. Kudos!
Review my weblog; dry scalp treatments
Great delivery. Solid arguments. Keep up the amazing effort.
ReplyDeletemy weblog - Coconut oil for hair
Admiring the time and energy you put into your website and in depth
ReplyDeleteinformation you offer. It's awesome to come across a blog every once in a while that isn't the same outdated rehashed information.
Wonderful read! I've saved your site and I'm adding your RSS feeds to my
Google account.
Here is my site :: buy breast actives
Excellent article. Keep posting such kind of info on your blog.
ReplyDeleteIm really impressed by your site.
Hi there, You've done an incredible job. I'll certainly digg it and individually recommend to my friends.
I'm sure they will be benefited from this site.
my web site: african mango plus
I've been exploring for a little bit for any high quality articles or weblog posts in this kind of area . Exploring in Yahoo I at last stumbled upon this web site. Reading this info So i am satisfied to convey that I've аn incredibly goоԁ unсanny fеeling І
ReplyDeletediscoverеԁ just what I neeԁed. I so much no doubt will make surе
to ԁon?t overlοok this web sіte
and provіdes it a lоok on a cοnstant bаsis.
Μy blog post: http://enewsletter.catawbacountync.Gov
You made some decent pοints there. I cheсked on thе internet fоr аddіtіonal іnfoгmation about the issue and found mοst indіvidualѕ
ReplyDeleteωill go alоng wіth your viewѕ on this ωeb site.
Here is my ωebpagе - facebook cuenta gratis
If some one needs to be updated with newest technologies after that he must be pay a visit this web page and be up to date daily.
ReplyDeleteAlso visit my web-site ... live hotmail
I like the valuable information you provide in your
ReplyDeletearticles. I will bookmark your weblog and check again here regularly.
I'm quite sure I will learn a lot of new stuff right here! Good luck for the next!
Also visit my weblog Free Youtube Commenter Tool
Hello, Νeat pоst. Thеrе's a problem with your web site in web explorer, may check this? IE still is the market leader and a huge component to other people will miss your wonderful writing due to this problem.
ReplyDeleteAlso visit my blog iphonelatinos.260mb.org
With haνin ѕo much writtеn contеnt do yοu ever
ReplyDeleteгun іnto any іsѕues of plagorism ог cοpyright
viοlatіon? Mу website has a lot of completelу unіquе сontent I've either created myself or outsourced but it seems a lot of it is popping it up all over the web without my permission. Do you know any solutions to help protect against content from being ripped off? I'd definitelу арpreciate it.
Feel free tо surf to my ѕite: Newsjkevin.Pixnet.Net
Hi to every single one, it's really a fastidious for me to pay a visit this web page, it consists of precious Information.
ReplyDeleteHere is my homepage social marketing
A scab develops inside a few of times, which should not be
ReplyDeletetaken out manually. Depart it there overnight or extended,
if necessary.
My homepage :: dermatend mole & wart remover
The first type is present from birth while the second type is not,
ReplyDeletebut starts to appear and proliferate as the years pass. Once you do, you will know which type of remover to buy that will
not irritate your skin. There are many different
reasons that could lead to the development of these tags on
the skin.
Stop by my homepage: freeze off skin tags at home
The first type is present from birth while the
ReplyDeletesecond type is not, but starts to appear and proliferate as the years pass.
An individual can develop anywhere from 1 to well over
100 skin tags. Skin tags can affect you and
anybody else at any age and irrespective of your skin type.
my web blog :: what do skin tags look like
I have a really good friend that's in a ultrasound program right now, and she loves it. She was telling me about it the other day, and it got me curious to learn more about it and see how it's all done. This gave me some great insights, and I can't wait to learn more.
ReplyDeletehttp://pccwayneoh.org/Services/
electronic cigarette, electronic cigarette, e cigarette, electronic cigarette, e cig forum, e cigarette
ReplyDelete