po
Forum Elite
Topics: 39
Posts: 356
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A 39 year old female is awakened one night by severe, colicky pain which is mainly in her right flank region, but with radiation down to the groin. She notes the passage of reddish urine. A urinalysis reveals pH 7.5, specific gravity 1.017, no glucose, trace protein, no ketones, 4+ blood, nitrite negative, and leukocyte esterase negative. Urine microscopic examination reveals numerous RBC's, 1 to 2 WBC's per hpf, and no casts. An abdominal radiograph reveals no free air, but there is a bright calcified 0.5 cm density seen in the right pelvic region. Which of the following neoplasms is most likely to be associated with these findings:
A) Renal cell carcinoma
B) Wilms tumor
C) Urothelial carcinoma
D) Cystadenocarcinoma
E) Parathyroid adenoma
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| silver
Forum Guru
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C ??
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| silver
Forum Guru
Topics: 21
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but then again, it's a right pelvic finding............
so can't be C
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| sfk
Forum Elite
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E parathyroid adenoma. (hypercalcemia- renal stone slipped- ureteric colic)
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| new_n_lost
Politically InCorrect
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E) Parathyroid adenoma
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| silver
Forum Guru
Topics: 21
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yeah, E seems the most logical one
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| doc179
Forum Guru
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E
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| tompat
Forum Elite
Topics: 36
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HI SILVER please share ur knowledge about urothelial ca
and how u deducted urothelial ca and right elvic finding contradict, i m totally blank on this
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| po
Forum Elite
Topics: 39
Posts: 356
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 yah me to went for C first thinking they r talking about pelvicalyceal region.SFK makes it clear.thanks
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| po
Forum Elite
Topics: 39
Posts: 356
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but then 39 yrs seems young for C to occur.made a mistake,
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| SmokyWaters
Forum Elite
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wud go for E
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| bioguy
Forum Guru
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wouldn't excess PTH increase calcium reabsorption and reduce urinary excretion of calcium???? 
i am assuming parathyroid adenoma hypersecretes PTH
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