Latest Blogs

  • OLA Tweet: Salt Restriction in CKD

    Prof Pierre Delanaye TWEETED:    A cheap and (relatively) simple intervention to improve HTA in CKD! Don't forget it! This is a RCT!  ...

    AVF: Fish Oil, Aspirin or Nothing...?

    Prof Pierre Delanaye posted: FISH OIL or ASPIRIN for AVF maturation: does not wok!Written by Pierre Delanaye on Monday, 09 January 2017. Posted in OLA...
  • ELEVATE: Rather not....

    Am J Transplant. 2016 Dec 27. doi: 10.1111/ajt.14186. [Epub ahead of print] Early conversion from calcineurin inhibitor- to everolimus-based...

    ASN 2016: Onco-Nephrology

    Prof Richard Glassock wrote: I went to a session on Onco-Nephrology at the ASN meeting yesterday.  Two randomized controlled trials of high-cut off...
  • ASN 2016: Late Breaking Clinical Trials

    Prof Arif Khwaja Reporting from Chicago: Late Breaking Clinical Trials LEADER study looking at Liraglutatide on renal outcomes in patients with T2DM. This...

    PPIs & CKD: "Do No Harm"...?!

    BLOG BY PROFESSOR PIERRE DELANAYE: PPI and CKD: an association… but is it causality? Proton Pump Inhibitor Use and the Risk of Chronic Kidney...

NEW - Transplant Online Course

Transplantation Online Course (TOC)

Brand new 6 month online course in renal transplantation -> the OLA TOC

  • a faculty of 10 experts
  • 31 brand new, up-to-date video lectures
  • more than 110 questions and cases studies
  • a focus on reflective practice and critical appraisal of literature
  • discussion and tutoring via OLA forum and Facebook microsite

  • 65 70 78 students have just started. THIS COURSE CLOSED
  • email us for details of the next course after you have signed up to OLA

Case of the Month

  October 2016

A 49 -year-old man,  who is under the care of the nephrology clinic as he has CKD due to autosomal dominant polycystic kidney disease admitted to the nephrology ward being unwell. He has a 3 day history of left loin pain, mild nausea, and fever. On physical examination, the patient looks ill. Temperature is 39 °C , blood pressure is 130/85 mm Hg, pulse rate is 110 bpm, and respiratory rate is 22/min. Chest is clear and heart sounds are normal. Abdomen is soft but with left costovertebral angle tenderness and bowel sounds are audible.

Laboratory results :

HB                          135 g/l

WCC                       15,000 X109 /l

S. creatinine             2.1 mg/dl (186 mmol/l)

Urine Dipstick           Negative

Negative urine culture.

Ultrasound KUB : the left kidney is 16.7 cm, and the right kidney is 16.9 cm; multiple bilateral intraparenchymal cysts are noted consistent with polycystic disease.

 

What is the most likely diagnosis?

Read: 1063 times Answered: 174 times Top score: 100%

Current Discussions

    • Dina Nabeel's Avatar
    • MRCP NEPHROLOGY PRACTICE MCQs
    • E cvp is low although it is a rough indicator of hypovolemia..but it is used to guide fluid replacement in early post op period..
    • 1 day 12 hours ago
    • delanaye's Avatar
    • OLA Tweet: Salt Restriction in...
    • I agree with Arif...but basically I think that our role as a doctor is to recommend the best practice for the patient. Try to help him. I believe that every CKD patient stage 4 should benefit from of...
    • 1 day 13 hours ago
    • sawsan mohammed babiker's Avatar
    • MRCP NEPHROLOGY PRACTICE MCQs
    • E: This patient needs more fluids replacement . Polyuria in the period immediately following the renal transplantation is a transient phenomenon, and it usually represents the first sign of...
    • 1 day 15 hours ago

OLA activity

  • saddam hassan abdel aziz
    Logged in
    5 minutes ago
  • Mostapha Habib Allah
    Logged in
    16 minutes ago
  • Tariq Zayan
    Logged in
    3 hours ago
  • OLA Administrator
    Logged in
    3 hours ago
  • Ahmed Mansour
    Logged in
    3 hours ago
  • saddam hassan abdel aziz
    Logged in
    4 hours ago
  • Mostapha Habib Allah
    Logged in
    4 hours ago