Horseshoe Kidney: The Daily PANCE Blueprint

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Horseshoe Kidney: The Daily PANCE Blueprint

A 40-year-old man diagnosed with a horseshoe kidney is being evaluated for appropriate management strategies. His medical history includes multiple urinary tract infections and a recent episode of acute kidney injury from which he has fully recovered. He currently shows no signs of urinary obstruction or kidney stones, and his serum creatinine level is within normal limits. Which of the following is the MOST appropriate next step in managing this patient?

A. Annual computed tomographic angiography to monitor renal vascular anatomy
B. Biennial kidney ultrasound, serum creatinine check, and blood pressure measurement
C. Immediate referral for prophylactic nephrectomy to prevent future complications
D. Start prophylactic antibiotics indefinitely to prevent further urinary tract infections
E. Restrict physical activity to reduce the risk of renal injury

Answer and topic summary

The answer is Biennial kidney ultrasound, serum creatinine check, and blood pressure measurement

The appropriate management of a patient with a horseshoe kidney who has no current complications but a history of renal issues includes regular monitoring to detect potential complications early. Biennial monitoring with kidney ultrasound, serum creatinine levels, and blood pressure measurement is recommended to assess kidney function and structure, detect changes in kidney size or the development of scarring, and manage risks associated with hypertension. This approach is based on the limited available evidence suggesting that people with horseshoe kidney are at increased risk for chronic kidney disease and other complications.

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Smarty PANCE Content Blueprint Review:

Covered under ⇒ PANCE Blueprint Renal System ⇒ Congenital or structural renal disorders ⇒ Horseshoe kidney