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2. Hypertension should be treated aggressively to prevent progression
   of the kidney damage and to guard against aneurysm rupture in
   cases of families with a history of cerebral haemorrhage.


3. Restriction of dietary protein to slow progression of kidney
   damage.


4. If infection occurred, give proper antibiotics, especially those
   which could penetrate into the renal cysts (trimethoprim-
   sulphamethoxazole, chloramphenicol, and fluoroquinolone drugs as
   norfloxacin and ciprofloxacin). If cyst infection occurred, drainage
   may be required.


5. Screening for intracranial aneurysm is indicated in cases with
   hypertension and positive family history for cerebral haemorrhage.

(Fig. 7.1)

Kidney of a patient with

ADPCK, the renal tissue

is replaced by large

cysts.

(^)