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: 2608 times Answered: 345 times Top score: 100%

Current Discussions

    • delanaye's Avatar
    • Biphosphonate en hémodialyse
    • quelle valeur de PTH? Qulle calcémie? quelle 25OHvitD? attention au risque d'hypocalcémie sévère avec le denosumab (qui n'est pas un biphosphonate)
    • 1 week 1 day ago
    • DJAZIA's Avatar
    • Biphosphonate en hémodialyse
    • DÉSOLÉE du retard, bonjour à tous. c'est pour traiter une ostéoporose chez une hemodialysé au risque fracturaire trop élevé, ayant déjà fait plusieurs fractures spontanées. le Rhumatologue...
    • 1 week 1 day ago
    • elnahas's Avatar
    • Antibiotic prophylaxis in post...
    • Thank you for the question. If you suspect that the first non-functioning allograft is the source of the recurrent infection, then why not remove it. If the infection comes from the second...
    • 2 weeks 1 hour ago
    • kbsoki's Avatar
    • Antibiotic prophylaxis in post...
    • Good evening. I ask this question as I came across an interesting patient with recurrent UTI after receiving a second kidney transplant. The speculation is that he could be having VUR within his first...
    • 2 weeks 14 hours ago
    • alanephro's Avatar
    • World Kidney Day 2018
    • Absolutely right We need an annual celebration for all efforts to fight kidney disease
    • 2 weeks 3 days ago

OLA activity

  • Augustina Okpere
    Logged in
    2 hours ago
  • ayman elsayed
    Logged in
    3 hours ago
  • Maria Carolina Ramirez Flores
    viewed Case for July 2017
    5 hours ago
  • Maria Carolina Ramirez Flores
    viewed Case for October 2017
    5 hours ago
  • Maria Carolina Ramirez Flores
    viewed Franco Ferrario
    5 hours ago
  • Maria Carolina Ramirez Flores
    Logged in
    6 hours ago
    viewed the lecture Audit and Clinical Governance
    7 hours ago