ADPKD

A D Polycystic Kidney Disease:
Prognostic factors
Early onset of disease
Male sex
Early onset of renal dysfunction
severity of hyspertension

Follow up with regular examination of BP

only 10% of patients present with berry aneursyms.

PUD Treatment
If patient is non responsive to triple therapy..
Quadruple therapy is preferred which includes
P :proton pump inhibitor
B :bismuth
M :Metronidazole
T :Tetracycline