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All nephrology Cases

Urine of patient with severe dehydration

89+ y/o F pt was chasing a cockroach, stepped into the empty bathtub to kill it, and slipped and fell. ...

275542

Squamous cell carcinoma

Pt with L iliac vein thrombosis , Oedema, developed this dry hardened cracked skin all over lower legs. PH of ...

42311

Polypharmacy in an elderly patient

A 65-year-old woman with hypertension, dyslipidemia, type 2 diabetes, and depression appears at the pharmacy for a pharmaceutical review of ...

353121

Fluconazole

Fluconazole is an Azole antifungal drug, which decreases ergosterol synthesis & interferes w/ fungal cell membrane formation. Beware QTc prolongation, ...

8549

Metatarsal fractures x-ray

51 y/o male presents with pain and swelling of his right foot. Dropped an 18 V battery pack on his ...

51328

3cm proximal ureteric tumor

85yo male with a history of haematuria. CT scan demonstrated proximal ureteral obstructive tumor. Laparoscopic left nephrouretherectomy with a vesical ...

0237

Pyelonephritis on kidney CT

Oblique coronal contrasted CT image of the kidneys in a teenager with flank pain & fever shows patchy foci of ...

3157520

Clot removed from the left M1 segment of the Middle cerebral artery

80yo F presents to the ED aphasic and right sided paralysis. CT confirms left M1 clot. Pt sent to Cath ...

5345738

Metastatic neuroblastoma on abdominal CT

2 yo autistic male referred for possible abuse. Pallor, multiple bruises, facial swelling, lethargy. Abd mass felt on exam, left ...

61224

ECG changes secondary to hyperkalemia

Evidence of severe #Hyperkalemia in a pediatric patient with severe potassium losing nephropathy requiring home TPN with 200 mEq/L KCl. ...

10368

Hand Foot Mouth Disease

difficult case for me, 32 y.o. Make librarian presents with rash for 1 day. No significant past medical history, no ...

191233344

Oxacillin and cefazolin general information

#Oxacillin and #Cefazolin are two go-to drugs for methicillin-susceptible Staphylococcus aureus (MSSA). Cefazolin has Gram negative coverage (Proteus, E. coli, ...

5365

Obturator hernia on CT

90+ year-old woman admitted for vomiting and renal failure. Bowel obstruction suspected. CT shows obturator hernia so emergent surgery is ...

0310

Cystic mass on abdominal CT

13 y/o female pt presents to the ED c/o intermittent right flank pain radiating into right groin onset 1 day ...

73253

Elevated B-type natriuretic peptide in Congestive Heart Failure

holy BNP! ESRD + CHF in a non dialysis patient. Educational moment- what is BNP? Why is it secreted? What ...

202251

Hydronephrosis and nephrostomy output

69 y/o male hx of bph, ureteral stenosis and deceased donor #renal #Transplantation in 2002 admit for mass on native ...

122911

Dialysis and renal damage

case continued (2); IV therapy continues to be unresponsive; GFR 32->21 in 6hrs and continues to fall. Over the evening ...

536214

Purple urine bag syndrome and pseudomonas aeruginosa

Elderly patient came with this purple colored urine bag to our emergency. The urine itself was normal. After a short ...

1971143

Renal transplantation and gonadal vein removal

Right kidney that will be prepared for #Transplantation, obtained from a cadaveric donor almost 24 hr before. Here, you can ...

1435104

Urinalysis results suggesting nephrolithiasis

27 yo male with on and off right flank pain radiating downward to RLQ and hypogastric area. Pain started in ...

26438

Urinary tract infection with pseudomonas aeruginosa

56y AAF been in ICU for 8 weeks...trached and on vent..HD 3 times a week..initially had a foley but someone ...

216161

Spinal abscess on sagittal spinal MRI

73yoM on dialysis complaining of difficulty walking, fever and elevated white count. Exam reveals distal motor strength of 2/5 bilaterally ...

192734

Bilateral foot sole discoloration

52 y.o. male on Hemodialysis, s/p endovascular infrarenal abd aneurysm repair. Developed tenderness to bilateral foot soles and noticed discoloration. ...

122917

Pulmonary arteriovenous malformation on chest x-ray

17 years old female, ESRD on regular dialysis 3/week due to unknown etiology, presented with coughing of blood for 2 ...

215117

Spontaneous retroperitoneal hemorrhage and chronic hemodialysis

40ish M, CKD 2/2 HTN on HD, presents with 12 hours of right flank and RUQ pain, n/v, chills. Hemodynamically ...

408518

Burkitts Lymphoma and tumor lysis

7 year old male presents with increasing abdominal girth, vomiting, and diarrhea. No past medical history. Gets the "PICU package" ...

153443

Rickettsial disease and pitting edema

30 yo male from northern Israel came to ER with fever of 40 C for last two weeks with dyspnea, ...

83325

Bilateral aniridia and foveal hypoplasia

24 year old male presents for first eye exam ever. Had aniridia in both eyes. Pictured are his (non-dilated!) eyes ...

74779

Bisected kidney and renal cell carcinoma

bisected #Kidney showing a large #Renal-cell-carcinoma (orange arrow). The main mass is pushing on and displacing the renal pelvis, but ...

92658

Bisected partial nephrectomy and necrotic mass

bisected partial #Nephrectomy showing a partially necrotic mass. Arrow points to the parenchymal margin (this is the surface of the ...

3921
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