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drashishmahajan
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02/16/07 - 06:00 AM       #1

. A 49-year-old woman is admitted to the hospitalbecause of renal failure. She has had episodes of flank pain over thepast 20 years. She has also had nocturia 2 to 3 times nightly for 10years. Her blood pressure is 160/100 mm Hg. Examination shows palemucous membranes. A mass is palpated in the right flank. Which of thefollowing is the most likely diagnosis?A) Horseshoe kidneyB) NephrolithiasisC) Papillary necrosisD) Polycystic kidney diseaseE) Renal cell carcinoma

CocaCola
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02/16/07 - 06:37 AM       #2

D - polycystic kidney disease

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drashishmahajan
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02/16/07 - 07:12 AM       #3

plssssssss explain ur options


Dr.Luck
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02/16/07 - 07:13 AM       #4

why not renal vell ca?

drashishmahajan
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02/16/07 - 07:44 AM       #5

with 20 yr history n at tht age diff to take rcc

drashishmahajan
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02/16/07 - 07:44 AM       #6

polycystic is always b/l


mjl1717
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02/16/07 - 11:01 AM       #7

Dr.Luck wrote:
why not renal vell ca?


yes renal cell ca is high on the list [hematuria, flank pain, and A palpable flank mass] I see Bilateral is the key difference!!!

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mjl1717
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02/16/07 - 11:06 AM       #8

mjl1717 wrote:


yes renal cell ca is high on the list [hematuria, flank pain, and A palpable flank mass] I see Bilateral is the key difference!!!


its meticulous in that complex cysts (a word never mentioned ) could be seen on U.S. or CT.

good thought provoker!!


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huyniid
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03/17/07 - 01:51 PM       #9

D









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