Latest Blogs

  • Stronger: Before or After...?!

    https://academic.oup.com/ckj/advance-article/doi/10.1093/ckj/sfx139/4763699#.Wjoowsxv4jI.facebook Abstract Background Hand grip strength (HGS) is a key...

    Fake Nephrology Facts

    At XMas time and the end of every year, one reflects on the year that has passed. 2017, has seen the explosion of fake news...false news....made up...
  • Is WES: YES for CKD?

    ORIGINAL RESEARCH |5 DECEMBER 2017  Whole-Exome Sequencing in Adults With Chronic Kidney Disease: A Pilot Study Sneh Lata,...

    ASN 2017: Richard Glassock Blog

    It is impossible to capture the "leading news" from the ASN meeting -  it is simply too immense-In my field of glomerular disease, I would gave to pick...

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: 3330 times Answered: 434 times Top score: 100%

Current Discussions

    • elnahas's Avatar
    • Egypt Hemodialysis Vascular Ac...
    • Outstanding achievement. A unique experience in Egypt and a great program of teaching and service provision. Well done Dr Zaghloul and the Damanhour team!
    • 8 hours 44 minutes ago
    • Zaghloul gouda's Avatar
    • Egypt Hemodialysis Vascular Ac...
    • Damanhour nephrology department team participates in many outreach programs for interventional nephrology chapter of Egyptian society of nephrology and transplantation. The current program was...
    • 20 hours 51 minutes ago
    • elnahas's Avatar
    • IKiD IPNA 2018
    • Prof Pierre Cochat (Lyon, France) Primary Hyperoxaluria: Guidance to Diagnosis and Novel Molecular Therapeutics PH1 85%: Worst prognosis PH3 10% HOGA deficit: Rare CKD/ESRD PH2 5% Asia PH1 35%...
    • 1 day 20 hours ago
    • elnahas's Avatar
    • IKiD IPNA 2018
    • Prof Hafez Bazaraa (Cairo, Egypt) Plasmapheresis in aHUS Membrane like hemofiltration; dialysis membrane with very large pores thus removing plasma in HUS before characterisation: Plasmapheresis...
    • 1 day 20 hours ago
    • elnahas's Avatar
    • IKiD IPNA 2018
    • Prof Francesco Emma Atypical Hemolytic Syndrome 90% of HUS caused by Shiga toxin producing E Coli (STEC HUS) 5-7% atypical HUS, presence family history in ~25%; AD and AR transmissions AR HUS,...
    • 1 day 21 hours ago

OLA activity

  • Mostapha Habib Allah
    Logged in
    6 hours ago
  • rola othman
    Logged in
    8 hours ago
  • KHALIDA BULHAN - SOKI
    viewed the lecture Assessment of Recipient
    16 hours ago
  • KHALIDA BULHAN - SOKI
    Logged in
    16 hours ago
  • Franco Ferrario
    Logged in
    17 hours ago
  • Meguid El Nahas
    Logged in
    21 hours ago
  • Zaghloul Gouda
    Logged in
    21 hours ago