Fast Five Quiz: Autosomal Dominant Polycystic Kidney Disease Management

Neera K. Dahl, MD, PhD

Disclosures

July 01, 2021

It is recommended that patients with ADPKD avoid contact sports that may result in direct trauma to the back or abdomen. This is particularly important for patients with larger, palpable kidneys to decrease the risk for rupture.

Patients with enlarged kidneys often experience abdominal pain. NSAIDs should not be used to manage this pain because they can worsen renal function and potentiate hyperkalemia. Treatment should instead entail surgical cyst decompression, which is effective for pain relief in 60%-80% of patients.

For patients with intracranial aneurysms, monitoring is normally sufficient when the aneurysms are < 7 mm in diameter and are located in the anterior circulation, because rupture is less likely with such lesions. Screening for intracranial aneurysms is recommended for patients with a family history of aneurysm.

Learn more about the management of ADPKD.

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