ACE inhibitors

Angiotensin converting enzyme (ACE) inhibitors; a group of drugs commonly used to treat hypertension in PKD patients.

Aldosterone

A hormone that causes the body to retain salt and lose potassium.

Amniocentesis

A test used in prenatal diagnosis of chromosomal abnormalities in which a small amount of amniotic fluid, which contains fetal tissues, is sampled from the amniotic sac surrounding a developing fetus, and the fetal DNA is examined for genetic abnormalities.

Amniotic fluid

The protective fluid contained in the amniotic sac of a pregnant female; the fluid is partially supplied by fetal urine which is produced by the fetal kidneys; in ARPKD, poor prenatal renal function causes a reduction in this fluid.

Aneurysm

An outpouching in a blood vessel which can leak or rupture.

Angiogram

Procedures that utilize contrast dye injected into the blood vessels in order to clearly visualize them; it is typically used when an aneurysm is suspected or to look for blockages in heart vessels.

Angiotensin

A powerful constrictor of blood vessels; it stimulates the production of aldosterone.

Angiotensinogen

A substance in the blood that forms a hormone called angiotensin.

ARBs

Angiotensin receptor blockers (ARBs); a group of drugs commonly used to treat hypertension in PKD patients.

Arteriovenous (AV) graft

A looped, plastic tube that connects an artery to a vein.

Arteriovenus (AV) fistula

A surgically-created connection from an artery to a vein.

Aspirate

To draw fluid by suction.

Autosomal dominant polycystic kidney disease (ADPKD)

Autosomal dominant polycystic kidney disease; the more common form of PKD, it occurs in approx. 1 in 500 live births.

Autosomal recessive polycystic kidney disease (ARPKD)

Autosomal recessive polycystic kidney disease; occurs in approx. 1 in 20,000 live births.

Autosomes

A chromsome that is not a sex chromosome; most cells in our body have 22 sets of autosomes.

Bladder

A muscular sac in the pelvis that collects urine.

Blood pressure

A measurement of the force of the blood as it flows through the body.

Blood type

A classification of blood based on the presence or absence of antigens on the surface of red blood cells; there are four major blood types – A, B, AB, and O; your blood type must be compatible with a potential kidney donor.

Blood type incompatible

A transplant option that allows you to receive a kidney from a living donor who has an incompatible blood type; specialized medical treatment is required before and after transplant to prevent rejection.

Blood urea nitrogen (BUN)

A measure of kidney function; urea nitrogen is the waste product of dietary protein, so if the urea nitrogen builds up in the blood, it is a sign of decreased kidney function.

Caffeine

A substance found in coffee, tea, soft-drinks, etc.; it is generally considered best for PKD patients to limit caffeine intake to less than 200-250 mg daily.

Calcium

A mineral that the body needs for strong bones and teeth. Calcium may form stones in the kidney.

Calcium oxalate

A common type of crystal that can lead to kidney stones.

Carrier

An individual who carries one copy of a recessive gene like that for ARPKD; they do not have the disease but can pass the mutation on to their offspring.

Cell proliferation

Cell growth.

Chorionic villus sampling (CVS)

A test used in prenatal diagnosis of chromosomal abnormalities in which a sample of chorionic villi is removed from the placenta for testing.

Chronic pain

Pain that is constant over a long time; long-term pain.

Computed tomography (CT)

A screening test that may involve radiation or iodinated contrast dye, which can be toxic to kidneys.

Congenital hepatic fibrosis (CHF)

A liver abnormality common in children with ARPKD; it may lead eventually lead to enlargement of the liver and spleen.

Creatinine

A waste product of muscle metabolism; the level of creatinine in the blood is a measure of kidney function.

Creatinine clearance

A test to calculate approximately how much actual kidney function you have.

Crossmatch

A blood test that tells you what antibodies you have in your body.

Cyclic AMP (cAMP)

Signalling molecule in cells that form tubules in the kidneys; abnormalities can lead to cyst formation.

Cystitis

A UTI with infection in the bladder.

Diastolic pressure

The bottom/second number of the blood pressure reading; it measures the pressure when the heart is relaxing between beats.

Direct mutation analysis/DNA sequencing

A type of DNA testing requires only a single sample from the person being tested. An analysis of the DNA sequences of the PKD1 and PKD2 genes is performed.

Directed donation

The most common type of living donation; when a living donor names the person who will receive their organ.

Diverticula

Outpouchings on the large intestine.

Diverticulitis

Can occur when diverticuli rupture or become infected.

DNA testing

A way to find out if you have a PKD gene. See also gene linkage testing and direct mutation analysis.

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