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  #1  
Old 04-01-2011
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Arrow High Yield Question #2

70 y/o man has history of urinary frequency, urgency, urgency incontinence, and voiding at night. Fever 101F, pressure 90/68 mmHg, and Pulse 108. Come to the ER with Short Of Breath and fatigue. He died on the next day of admission. Autopsy of his kidney shown:

High Yield Question #2-kidneygross.jpg
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A) Hydronephrosis
B) Renal cell Carcinoma
C) Urinary tract infection
D) Urolithiasis
E) Chronic Glomerulonephritis
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  #2  
Old 04-01-2011
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Default A

Thin rim of cortex...dilated ureter and renal pelvis, so.. Hydronephrosis.
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  #3  
Old 04-01-2011
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Default

Quote:
Originally Posted by Triquetrum View Post
Thin rim of cortex...dilated ureter and renal pelvis, so.. Hydronephrosis.
Exactly!

My answer is hydronephrosis aswell..

BTW can you write Short Of Breath instead of SOB?

I keep thinking of something else
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  #4  
Old 04-01-2011
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I forgot SOB meant shortness of breath but I answered it anyway... but yeah, it can mean something else too
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  #5  
Old 04-01-2011
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Default What is the question?

I am not sure what the question is.

If it is the pathological finding, I would say A, hydronephrosis.
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  #6  
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Arrow

Quote:
Originally Posted by Triquetrum View Post
I forgot SOB meant shortness of breath but I answered it anyway... but yeah, it can mean something else too
Man ... you guys are dirty minded.... lol
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  #7  
Old 04-02-2011
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Very good.

Ans is A)Hydronephrosis

This pt actually had chronic BPH and urinary tract obstruction at the prostatic urethra. He died with acute systemic infection that spread thru his renal system (UTI). Long term urinary tract obstruction will lead to Hydronephrosis.


More info on Hydronephrosis:

http://en.wikipedia.org/wiki/Hydronephrosis
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  #8  
Old 01-10-2013
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hydronephrosis...
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  #9  
Old 01-10-2013
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i got that Q in my board, i hope u are right cuz that was my answer
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  #10  
Old 01-10-2013
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Quote:
Originally Posted by mdcr View Post
i got that Q in my board, i hope u are right cuz that was my answer
That was lucky one.
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  #11  
Old 01-11-2013
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it was, cuz the others was a lot of genetic, bioq and behav
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  #12  
Old 01-11-2013
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Hydronephrosis
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