Latest Blogs

  • WKD: Propaganda or Facts?!

    The 2017 WKD theme is OBESITY & CKD implying a link between the incidence, progression and outcomes of CKD and Obesity. Presumably a harmful link...?!...

    WKD: Propaganda or Facts?!

    The 2017 WKD theme is Obesity and CKD implying a link between the incidence, progression and outcomes of CKD and Obesity. Whilst I am aware of links between...
  • 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...

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: 1253 times Answered: 208 times Top score: 100%

Current Discussions

    • elnahas's Avatar
    • Néphromégalie chez une jeune d...
    • Alors Hichem: ? Resultat de la PBR ? Resultat de l'examen medullaire Priere de nous donner une suite a ce cas interessant!
    • 1 week 5 days ago
    • zineb imane's Avatar
    • Néphromégalie chez une jeune d...
    • il peut s'agir aussi d'un lymphome rénal , il faut faire une PBR avec une immunohistochimie investiguer aussi dans le sens de sarcoidose, wegener, goujerot
    • 1 week 5 days ago
    • elnahas's Avatar
    • New HCV treatment
    • When a HD patient becomes negative, you should: 1. Remain in a transition zone; not the HCV positive or the HCV negative 2. He should dialyse with an HCV- machine 3. If 3 repeated HCV PCR are...
    • 1 week 6 days ago
    • DJAZIA's Avatar
    • HTA-IRC
    • notion d'un cas similaire dans la famille , son frère agé de 30 ans suivi ailleurs et qui présente une HTA avec insuffisance rénale mais aussi sévère que mon patient.
    • 1 week 6 days ago
    • DJAZIA's Avatar
    • HTA-IRC
    • échodoppler des art rénales en cours, sérologie virales négative , pas d'anémie , pas de syndrome inflammatoire. le patient rapporte qu'il fait des pics à 250/120 et plus !!! s'agit il d'une...
    • 1 week 6 days ago

OLA activity