๐ฅ Letโs discuss an interesting case . Already discussed in #ECNeph . Trying to consolidate it.
๐ฅ I was called in for a nephrology consult for a patient admitted under pulmonology ๐ซ
๐ฉธ Microscopic hematuria ++
๐ฅ I was called in for a nephrology consult for a patient admitted under pulmonology ๐ซ
๐ฉธ Microscopic hematuria ++
๐ง What do we think in a patient with hemoptysis?
๐ซ The nephrologist brain in me thought it narrower. The first hit
๐งช what does the lab has to say ?
Numerous ๐ฉธred blood cells in urine and pulmonary haemorrhage .
๐กI was sure i hit the right diagnosis ๐ฏ
Numerous ๐ฉธred blood cells in urine and pulmonary haemorrhage .
๐กI was sure i hit the right diagnosis ๐ฏ
๐บ how can a nephrologist proceed without an Ultrasound kidney
โ Nothing significant
โ Nothing significant
๐ซ Now its nephrology time to crack the case .
๐๏ธ Patient got re admitted
๐ฆ oliguric renal failure
๐๏ธ Patient got re admitted
๐ฆ oliguric renal failure
โ๏ธ What is the clinical diagnosis ?
๐จ๐จ PR3 ANCA , MPO ANCA Anti GBM - Negative, C3 - Normal
๐ข I told it could still be ANCA negative Paucimmune crescentic GN with pulmonary haemorrhage
โWhat next ? Seeing is believing
๐ Empirical steroids
๐ข I told it could still be ANCA negative Paucimmune crescentic GN with pulmonary haemorrhage
โWhat next ? Seeing is believing
๐ Empirical steroids
๐ซ renal biopsy report ๐ณ๐ณ
๐จ quite unexpected
๐จ quite unexpected
๐จ when things donโt go the way you think its not a bad idea to go back to the patient and the previous reports
๐คฏ Rechecking the reports
๐ฏ๐ฏ We got down to the diagnosis at the end โ๏ธโ๏ธ
๐ฏ๐ฏ We got down to the diagnosis at the end โ๏ธโ๏ธ
๐ง๐ง but there is a problem ๐จ
๐ We went ahead with CT Angio โ> the CT revelation ๐
๐Letโs see how the disease progressed ๐ด๐ด
๐ whatโs the status of the patient ?
๐ what could be the reason for renal vein thrombosis ?
๐ when in doubt get back to the patient and old reports
๐ก atypical cells within the lung biopsy โ> slide sent for IHC
๐ก atypical cells within the lung biopsy โ> slide sent for IHC
๐จ๐จ The suspected trouble maker
๐ฅ The final diagnosis
๐งญ Approach to rapidly progressive renal failure
๐ฉธ Never forget the vascular cause of RPRF
๐ฉธ Never forget the vascular cause of RPRF
๐จ RPRF with normal renal biopsy
๐ฉธ Causes and symptoms of RVT
๐ evaluation and treatment of Renal vein thrombosis
โ ๏ธ Do we neglect renal cysts ?
๐ The CT classification of cysts and the chances of them being problematic
Loading suggestions...