Q: 34 year old male admitted to ICU with viral entero-gastritis overnight for IV hydration due to 'soft blood pressure'. On call resident ordered ultrasound of abdomen, which accidentally diagnosed Autosomal dominant polycystic kidney disease (ADPKD). Patient is at high risk for which other diseases?


Answer: ADPKD is characterized by cysts in the kidneys, which eventually lead to End Stage Renal Disease (ESRD) usually in fifth decade and usually is associated with cysts in other organs. Patients are at risk and should be educate and screened for 

• Cerebral aneurysms 
• Hepatic and pancreatic cysts 
• Valvular heart disease 
• Colon diverticulum 
• Abdominal wall and inguinal hernia 
• Seminal vesicle cysts 
• Cervicocephalic artery dissections, 
• Dolichoectasias 
• Central retinal vascular occlusions