Handbook of Abiogenetic Counseling Aberrant Amateur Awning and Ancestors Story of PKD

 18 June 03:18   Aberrant Amateur Awning and Ancestors Story of PKD

    *Diagnosis/medical management

    **renal ultrasounds

    ***only afterwards age 30 is a abrogating ultrasound = 5% accident of disease

    **computed tomography (CT) - to ascertain aneurysm

    **MRI

    *Prevention

    **Diet ascendancy = abstain red meat, eat low protein diet, beneath salt, beginning fruits and veggies, alcohol lots of water, abstain caffeine

    *Treatment

    **For pain

    ***acetaminophren may help

    ***laparoscopic anaplasty to unroof cysts

    **For renal failure

    ***dialysis

    ***renal displace (75-80% of kidneys plan for 5 years)

    *Inheritance (dominant added frequently - backward is RARE)

    **Description of autosomal ascendant and why this is the type

    **Chance of ceremony if the mother has it = 50% chance

    **Chance of ceremony if the mother doesnt accept it aforementioned as citizenry risk= <1%???? about 10% of the PKD accommodating association became adulterated through ad-lib mutation, and not through inheritance.

    *Genetics

    **Two genes articular (a third suspected)

    **PKD1 - 16p (90% of PKD) DX is earlier, progresses added rapidly, added acceptable to be hypertensive

    **PKD2 - chromosome 4

    **Testing is done through linkage

    *A amniocentesis for chromosome risk

    *A renal ultrasound for herself (PKD surveillance)

    **If it is abrogating and she is 30+, adventitious of accepting PKD is <5%

    *Testing by bond assay for herself and family

    **Costs approx. $2200 per family

    **>95% authentic in families

    *Prenatal assurance (preferably afterwards bond has been established)

    **CVS testing for bond studies (9-15 weeks)

    **Amniocentesis for bond studies (15+ weeks)

    *How her brothers affliction has afflicted her

    *Scared about the achievability of accepting PKD?

    *Worried about PKD for baby?

    *Would a analysis of PKD access a abundance decision?

    *How would accepting a adolescent with DS feel?

    *Support and assets at home?

    *Would the dx of DS access abundance planning?

    *[Polycystic branch ache admission centermost http://www.nhpress.com/pkd/]

    *[www.adam.com http://www.adam.com]

    The advice in this outline has not been adapted back 2003.