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학습 자료 둘러보기 →The hallmark of early Autosomal Dominant Polycystic Kidney Disease (ADPKD) is bilateral kidney enlargement from growing cysts. This directly causes flank pain (from capsular stretching) and palpable kidney masses on deep abdominal palpation.
Imaging like ultrasound can confirm cysts, but a thorough physical assessment is critical for raising initial suspicion, especially in at-risk adults with a family history. Do not wait for decreased urine output or hypertension, as these are late complications.
Palpation should be gentle to avoid rupturing cysts. Sudden, severe flank pain with hematuria may indicate cyst hemorrhage or infection, requiring urgent evaluation.
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