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  • 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...

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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: 1031 times Answered: 159 times Top score: 100%

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    • OLA Tweet: Salt Restriction in...
    • How does this differ from adequate and optimal diuretic therapy; diuretics are also associated with lower BP and improved CVD outcomes; ALLHAT and other studies since some including CKD patients.
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