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Which of the following is a reason not to Doppler the renal artery?

A) In hydronephrotic kidneys

B) In patients with high blood pressure

C) In the presence of an AAA

D) In patients with renal cell carcinoma

1 Answer

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Final answer:

The presence of an AAA is a reason not to Doppler the renal artery because of the risk and technical difficulties. The speed of blood flow would be greatest at a point of arterial constriction. The loop of Henle is a component of the renal tubule.

Step-by-step explanation:

The reason not to Doppler the renal artery would be C) In the presence of an AAA (abdominal aortic aneurysm). This is because the aneurysm could be at risk of rupture due to the pressure of the ultrasound probe, or the Doppler examination might be technically difficult or limited due to the aneurysm's presence.

Doppler ultrasound is a useful tool for measuring the speed of blood flow in the body. If an artery is partially constricted, the blood flow would be fastest at the constriction point due to the need to maintain an adequate flow rate through the narrower passage. This increase in velocity can be due to two distinct causes of higher resistance: structural narrowing of the vessel or a dynamic increase in vascular tone.

If there were a blood clot in the renal artery, it would likely lead to decreased blood flow to the kidney, which could cause ischemia and potentially result in acute renal failure. This is a condition where rapid loss of kidney function occurs, and it is often signified by a sudden increase in serum creatinine levels over days to weeks.

The loop of Henle is part of the renal tubule (B), and it is integral to the kidney's ability to concentrate urine and maintain fluid balance.

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