Latest Blogs

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: 223 times Answered: 48 times Top score: 100%

Current Discussions

    • arif.khwaja's Avatar
    • Patients' Characteristics Affe...
    • It's difficult to see how this issue of safety of VKA will ever be answered even with an RCT - dialysis patients have so many comorbidities that act as confounders. I suspect as always individual...
    • 14 hours 14 minutes ago
    • arif.khwaja's Avatar
    • Intensive Home Hemodialysis Re...
    • Its not just logistics and cost for many patients its a question of patient preference - spending less time on dialysis is an important outcome for many
    • 14 hours 46 minutes ago
    • elnahas's Avatar
    • Intensive Home Hemodialysis Re...
    • As the Tassin group showed all those years ago, Time...Time...Time...with longer HD weekly hours is the key to better outcomes in those treated by HD; whether it is at Home, Frequent, Nocturnal......
    • 20 hours 2 minutes ago
    • abutalebN's Avatar
    • Potassium and Mortality on Hem...
    • It is unfortunate noting that increasing number of dialysis centers are shifting to midweek monthly lab tests. Such shifting help improving the outcomes of the dialysis therapy when assessed by the...
    • 3 days 20 hours ago
    • abutalebN's Avatar
    • Radiocontrast Nephrotoxicity: ...
    • Thank you El Nahas and all colleagues.. Helpful study and discussions that further lower the threshold for carrying necessary (when truly indicated and with potential Rx) investigations in our sick...
    • 3 days 21 hours ago

OLA activity