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Surgery Miscellaneous e56d46fa

Renal biopsy is indicated in all the following conditions except:

A
CRF with normal size kidney
B
Size<60%
C
Glomerular disease in adults
D
Asymptomatic proteinuria
High-Yield Explanation
(B) Size<60%# Renal biopsy is used to establish the nature and extent of renal disease in order to judge the prognosis and need for treatment.# Indications:> Acute renal failure that is not adequately explained> CRF with normal-sized kidneys> Nephrotic Syndrome or glomerular proteinuria in adults.> Nephrotic Syndrome in children that has atypical features or is not responding to treatment> Isolated haematuria with "renal" characteristics or associated abnormalities.> Asymptomatic proteinuria (> 1 gm/day)# Contraindications:> Coagulation disordered or thrombocytopenia> Uncontrolled hypertension Kidneys < 60% predicted size Solitary kidney (except transplants)> Infections - perinephritic abscess, pyonephrosis etc.> Cystic disease - Hydronephrosis, polycystic disease of kidneys or large solitary cyst.> Hypernephroma

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