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Previous Topic | Next Topic  CNS Symptoms w Kidney Picture NBME F2 S2 




 



Author9 Posts
  #1

68 yr woman admitted to hosp for evaluation of gross hematuria.2 days later develops aphasia,right hemiplegia,coma n death.cut surface of kidney at autopsy.likely cause of hematuria?
metastatic ca
papillary necrosis
pcd
renal cell ca
renal infarct

it it renal cell ca


  #2

it`s RCC. inc. erythropoetin causes inc. RBC which in turn inc. blood viscosity and may cause infarctions or stroke.

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  #3

why is it not renal infarct?

  #4

thanks for the ans.why cant it be renal infarct?

  #5

rn this ques actually has a picture - right? if u can post the pic then we can discuss..

  #6

well i can`t think of a possiblity that connects renal infarct to the CNS symptoms.

BUT...
it could be possible if the story was a bit different!!

"Atrial Fibrillation": in this case emboli can travel basically anywhere, most commonly to the brain as well as the Kidneys, causing infarctions. but there is nothing mentioned about any heart conditions.

any other ideas?


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  #7

its renal infact. This question has already been discussed




  #8

sridevi can u plz post the link where this q is discussed..txs...

  #9

wats the final answer?







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