This page is part of the Clinical Guidelines (v1.0.0: STU 1) based on FHIR R4. This is the current published version in it's permanent home (it will always be available at this URL). For a full list of available versions, see the Directory of published versions
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Raw xml
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<div xmlns="http://www.w3.org/1999/xhtml"><p><b>Generated Narrative</b></p><p><b>knowledgeCapability</b>: shareable</p><p><b>knowledgeCapability</b>: computable</p><p><b>knowledgeCapability</b>: publishable</p><p><b>knowledgeRepresentationLevel</b>: structured</p><p><b>url</b>: <code>http://hl7.org/fhir/uv/cpg/ActivityDefinition/cc-cpg-activity-ultrasound-renal</code></p><p><b>version</b>: 1.0.0</p><p><b>name</b>: UltrasoundRenalHistory</p><p><b>title</b>: Ultrasound, Renal; History: [add diagnosis, symptom(s)]; Question: [add reason for exam]</p><p><b>status</b>: active</p><p><b>experimental</b>: true</p><p><b>date</b>: Feb 11, 2021 8:30:11 PM</p><p><b>publisher</b>: Elsevier Inc</p><p><b>description</b>: Ultrasound, Renal; History: [add diagnosis, symptom(s)]; Question: [add reason for exam]</p><p><b>jurisdiction</b>: <span title="Codes: {http://unstats.un.org/unsd/methods/m49/m49.htm 001}">World</span></p><h3>RelatedArtifacts</h3><table class="grid"><tr><td>-</td></tr><tr><td>*</td></tr></table><p><b>kind</b>: ServiceRequest</p><p><b>code</b>: <span title="Codes: {http://snomed.info/sct 13301000087109}">Ultrasound of bilateral kidneys</span></p><p><b>timing</b>: Events: Now()</p><h3>Participants</h3><table class="grid"><tr><td>-</td><td><b>Type</b></td></tr><tr><td>*</td><td>practitioner</td></tr></table></div>
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value="Renal ultrasonography
Perform ultrasonography to detect structural abnormalities when routine evaluation and urinalysis are inconclusive or to distinguish between acute and chronic kidney disease
Small hyperechoic kidneys, cysts, or lesions are irregularities associated with chronic kidney disease
Ultrasonography will also detect presence of stones, cysts, or masses that can affect renal function
Diagnosis of chronic kidney disease requires abnormalities persisting beyond 3 months
&nbsp;
Differential Diagnosis
Renal artery stenosis
Narrowing of the renal arteries resulting in loss of kidney function and blood pressure alteration
Both renal artery stenosis and chronic kidney disease present with hypertension and reduced GFR
Although also a cause of chronic kidney disease, renal artery stenosis (usually from atherosclerosis) is present before the development of kidney disease
Renal bruit is indicative of renal artery stenosis
Duplex ultrasonography can identify blockage in the renal artery and high velocity flow rate, indicative of renal artery stenosis
Neoplasm
Neoplasm of the kidney is a tumor growth in the renal cells
Both diseases present with RBCs in urine
Neoplasia can be differentiated by detecting tumor mass on kidney
Contrast-enhanced CT scanning or ultrasonography can identify renal neoplasias, which can then be further evaluated with MRI"/>
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value="Chronic Kidney Disease Clinical Overview. ClinicalKey. Source"/>
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