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30997 Surgery

A 30 year old male presents with pain on the right flank and hematuria . A CECT abdomen reveals a large 8×8 cm sized solid mass in the right kidney and 3×3 cm solid mass occupying the upper pole of left kidney . The most appropriate surgical treatment for this pt is ?

ABilateral radical nephrectomy
BRight radical nephrectomy and biopsy of the mass from opposite kidney
CRight radical nephrectomy and left paial nephrectomy.
DRight radical nephrectomy and left paial nephrectomy.
Surgery
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31000 Pathology

A 15 year old male presents with hematuria. He has previous diagnoses of deafness and corneal dystrophy. Urinalysis shows 1 + proteins, no ketones, no glucose, 1+blood, and no leukocytes. A renal biopsy reveals tubular epithelial foam cells by light microscopy. By electron microscopy, the glomerular basement membrane shows areas of attenuation, with splitting and lamination of lamina dense in other thickened areas. The most probable diagnosis is –

AAcute tubular necrosis
BBergers disease
CMembranous glomerulonephritis
DAlport syndrome
Pathology
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