Clinical Presentation & Protocol
Patient Usually Complains Of
Patient is a long-term dialysis-dependent ESRD case presenting for routine surveillance of Acquired Cystic Kidney Disease (ACKD). Denies gross hematuria, flank pain, or fever. No history of familial polycystic kidney disease. Imaging confirms presence of multiple bilateral renal cysts in shrunken kidneys, consistent with ACKD.
Clinical Examination Findings
General: Patient appears chronically ill, consistent with ESRD status. Vital signs stable. Abdominal exam: Kidneys non-palpable due to atrophy; no localized tenderness or masses detected. Skin: No stigmata of systemic vasculitis or connective tissue disorders.
Treatment Protocol
Continue current dialysis regimen. Annual renal ultrasound or CT/MRI surveillance for cyst progression and monitoring for potential malignant transformation (RCC). Maintain blood pressure control. Advise patient to report any gross hematuria immediately.