Latest Blogs

  • RELAPSE OF IMN AFTER TRANSPLANTATION

    Nephrol Dial Transplant. 2014 Jul 25. pii: gfu252. [Epub ahead of print] Prediction of membranous nephropathy recurrence after transplantation by...

    Duplication in Nephrology Publications

    SHARP Study GRoup.   The SHARP study group showed in their original publication that lipids lowering with a combination of simvastatin and ezetimibe...
  • 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: 628 times Answered: 219 times Top score: 100%

Current Discussions

    • achrafhendawy71's Avatar
    • Critical Appraisal of ACCOMPLI...
    • -The aim of the study was clear: comparison of the effect of combination benzapril +amlodipine versus benazepril + hydrochlorothiazide on the progression of CKD in combination of CVD mortality or all-...
    • 22 minutes ago
    • achrafhendawy71's Avatar
    • Critical Appraisal of ACCOMPLI...
    • -Renal outcomes with different fixed-dose combination therapies in patients with hypertension at high risk for cardiovascular events (ACCOMPLISH): a prespecified secondary analysis of a randomized...
    • 24 minutes ago
    • Shalabyn's Avatar
    • Treatment Policy rather than P...
    • I have one patient with ESRD due to systemic vasculitis who couldn't tolerate hemodialysis but he did very well with chronic hemodiafiltration ,his complaints became less , his need to...
    • 4 hours 5 minutes ago

OLA activity