Diabetic nephropathy echocardiography or ultrasound

The diagnosis of diabetic nephropathy is based on history, physical examination and laboratory investigations. Renal imaging, such as ultrasound, is often done to rule out other kidney and urinary tract pathologies. However, the ultrasound findings in diabetic nephropathy are highly non-specific and may be normal. Some of the findings in chronic kidney disease due to diabetic nephropathy or other causes include: reduced renal length, reduced renal cortical thickness, increased renal cortical echogenicity, poor visibility of the renal pyramids and the renal sinus, marginal irregularities, papillary calcifications.

The diagnosis of diabetic nephropathy is based on history, physical examination and laboratory investigations. Renal imaging, such as ultrasound, is often done to rule out other kidney and urinary tract pathologies. However, the ultrasound findings in diabetic nephropathy are highly non-specific and may be normal. Some of the findings in chronic kidney disease due to diabetic nephropathy or other causes include:^[1][2][3]

• Reduced renal length
• Reduced renal cortical thickness
• Increased renal cortical echogenicity
• Poor visibility of the renal pyramids and the renal sinus
• Marginal irregularities
• Papillary calcifications

Some of the findings on doppler ultrasound in chronic kidney disease include:^[1][2][3]

• Reduced renal vascularity
• Increased resistance index (RI) values (segmental and interlobular arteries)

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