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: 520 times Answered: 82 times Top score: 100%

Current Discussions

    • abukhatwah's Avatar
    • Elite Nephrologists School (EN...
    • Thank you so much respected Professor Dr Elnahas and for all of your great team I would like to express my gratitude for all the members of the Board . Thank you so much for noticing and...
    • 16 hours 3 minutes ago
    • elnahas's Avatar
    • Elite Nephrologists School (EN...
    • Thank you all for great submissions. The GKA Board ENES 2017 Prize WINNER: Dr WALEED ABOUKHATWAH (Egypt/KSA) For his Leadership and Management achievements in setting up a comprehensive Pediatric...
    • 20 hours 33 minutes ago
    • elnahas's Avatar
    • Dietary Magnesium and Kidney F...
    • Was the relationship adjusted for race; as black race may consumed Magnesium than white counterparts?! Also low Mg intake may impact on blood pressure; hypomagnesemia has been linked to raised BP:...
    • 2 days 14 hours ago
    • JH Hwang's Avatar
    • Urinary Periostin Excretion Pr...
    • I think your opinion is reasonable concern. We evaluated the urine periostin as an early marker of fibrosis. Periostin expression is known to be increased in fibrosis induction both in vitro and in...
    • 4 days 5 hours ago

OLA activity