A 40-year old male complains of a vague dragging sensation in his abdomen for the last 6 months. There was no history of fever, renal colic or dysuria. Physical examination reveals a blood pressure at 150/96 mm Hg. Renal ultraound : Bilaterally enlarged kidneys with multiple cysts. Urinary analysis: Mild Proteinuria WBCs 4/HPF (Normal: < 5/HPF) RBCs 10/HPF (Normal :< 5/HPF) The renal pathology was a result of –
Correct Answer: Polycystic kidney disease
Description: Polycystic kidney disease - Asymptomatic till fouh decade. Clinical manifestations -progressive bilateral formation of renal cysts, hypeension, abdominal mass, flank pain(frequent symptom in 60%of pts) . Pain may result from cyst hemorrhage , infection or nephrolithiasis. Gross hematuria resulting from cyst rupture occurs in 40%of patients in their course of disease and many will have recurrent episodes. Proteinuria is a minor feature. Ref:Harrison 20 th edition pg no 2152
Category:
Medicine
Get More
Subject Mock Tests
Practice with over 200,000 questions from various medical subjects and improve your knowledge.
Attempt a mock test nowMock Exam
Take an exam with 100 random questions selected from all subjects to test your knowledge.
Coming SoonGet More
Subject Mock Tests
Try practicing mock tests with over 200,000 questions from various medical subjects.
Attempt a mock test now