Latest Blogs

  • Short termism in Nephrology Publications...

    It strikes that Nephrologists are so keen to publish theat they often publish short term, incomplete, underpowered and inaccurate informations...that shape...

    PURE Confusion

    Two articles have been published this month in the NEJM relating to the PURE study outcomes: N Engl J Med. 2014 Aug 14;371(7):601-11. doi:...
  • BE SMART ON SHARP!

    J Am Soc Nephrol. 2014 Aug;25(8):1825-33. doi: 10.1681/ASN.2013090965. Epub 2014 May 1.   This publication from the SHARP study group showed NO...

    NEPHROLOGY 40 YEARS ON: NIHILISTIC OR REALISTIC?

    I have been practicing Medicine and Nephrology for 40 years. It occured to me that true and major breakthroughs in the management of CKD have been few and...

NEW - Pathology Corner by Prof. Franco Ferrario

Brand new high fidelity nephropathology section -> the OLA Pathology Corner

  • cases hand-picked by Professor Franco Ferrario
  • high-fidelity dedicated viewing software
  • discussion and tutoring via OLA forum
  • free to registered users -> sign up now

Case of the Month

  August 2014

A 55 year old woman with normal kidney function is referred to you with a 3 year history of increasing difficult to control hypertension. Over the last 6 months her blood pressure has deteriorated and she is complaining of worsening headaches and pulsatile tinnitus. She is on maximal doses of amlodipine, ramipril, atenolol and bendroflumethazide.  She is a non-smoker

Examination reveals a BP of 190/100 in her left arm and 150/90 in her right arm, bilateral carotid bruits and a subclavian bruit. Rest of the examination was unremarkable.

Urinalysis and kidney function are normal. She undergoes a MRA followed by an angiogram of her renal arteries as shown below.

Case of the Month August 2014 

What is the most likely diagnosis?

Read: 517 times Answered: 183 times Top score: 100%

Current Discussions

    • delanaye's Avatar
    • Short termism in Nephrology Pu...
    • Don't be hurt..I just discussed I repeat some arguments: 1) publishing results at one year for an induction therapy of 3 months makes sense to me. Mortality without treatment at 1 year is 90%. The...
    • 34 minutes ago
    • elnahas's Avatar
    • Short termism in Nephrology Pu...
    • If being critical of poor quality publications like MEPEX is severe, so let it be. On one hand, we are saying above that it is up to the reader to be critical...and not the researcher, and then we...
    • 10 hours 23 minutes ago
    • wllau's Avatar
    • Chronic Kidney Disease Results...
    • A new report implicates ABCC6 as a key source of circulating pyrophosphate, which is a potent inhibitor of ectopic calcification. Jansen and colleagues showed that ATP secreted by ABCC6 is converted...
    • 12 hours 14 minutes ago
    • tukaram's Avatar
    • Short termism in Nephrology Pu...
    • Responsibility of the reader can't be denied. In an era of "massive information load" one can't get away without developing a critical approach.This needs to start much earlier(right at MBBS) than...
    • 17 hours 2 minutes ago

OLA activity