What this deck covers
Cystic Kidney Disease in Children in 18 board-style clinical cases with worked explanations. Each case gives you a clinical vignette, four options, the correct answer, and an explanation of why each of the other three is wrong, with the guideline or textbook it follows named on the answer.
Board-style teaching questions for paediatricians and trainees preparing for board, MRCPCH and Prometric examinations. Written from published guidelines and standard paediatric textbooks, with the source named on every answer.
The 18 cases, in order
- Bright flanks and no liquor
- What the next pregnancy carries
- Discrete cysts and an affected father
- What else the disease touches
- Bleeding from a working liver
- Whether to scan a well child
- Cysts that do not connect
- Watching it disappear
- Failure with a bland urine
- Clumsy at dusk
- One cyst found by accident
- Seizures, spots and bright kidneys
- Bright kidneys before birth
- Pressure before the creatinine
- After the lungs, the stomach
- Matching the gene to the risk
- One scan tells you which
- Fever with a sterile urine
Diagnoses and management options tested
Across the 18 cases you are asked to choose between options such as: Multicystic dysplastic kidney, Negligible, as this was sporadic, Autosomal dominant polycystic kidney disease, Hepatic cysts, A peptic ulcer from uraemic gastritis, Nothing is needed until she reaches adulthood, Autosomal recessive polycystic kidney disease, Lifelong antibiotic prophylaxis, Reflux nephropathy, Retinitis pigmentosa, Referral for cyst aspiration, Von Hippel-Lindau disease, Arrange renal imaging for both parents, A thiazide diuretic.
Clinical pearls from this deck
- These babies die of lungs, not kidneys; the oligohydramnios is what causes the pulmonary hypoplasia.
- Scan the parents: normal parental kidneys is what separates the recessive form from the dominant one.
- In the dominant form the blood pressure rises before the function falls, so measure it every visit.
- Enlarged cystic kidneys and contact sport do not mix; warn about cyst rupture.
- Normal albumin and clotting with big varices means fibrosis, not cirrhosis.
- A normal scan in childhood does not exclude the dominant disease, so a negative result reassures nobody.
Work through the deck once for recognition, then again a week later to test yourself — each question gives the answer and explains why every other option fails.
More from this system: all nephrology case decks · pediatric reference values.
