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 Another patient with Renal Failure  

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A 68 year old patient with Renal Failure due to chronic GN on hemodialysis for the past 4 years presents with the acute onset of gross hematuria and mild flank pain. He was afebrile and the hematuria resolved without intervention.

Best next step in Ultrasound

It reveals mutliple cystic right and left kidneys

what is the Diagnosis?


autosomal dominant polycystic kidney disease


No that wld have been too simple i not right?
i mean like ....the patient had Renal failure when he was 62 and it said chronic Glomerulonephritis......and Hereditary Polycystic Kidney Disease just doesn't cause Renal Failure so late......

and plus it would be so wierd to be diagnosed so late into his renal failure....

SO that isn't the answer ...... this is a complication of long term Hemodialysis and it is called Acquired Polycystic kidney disease which has a great association with long standing Renal failure and any long term renal treatment.....such as hemodialysis or Peritoneal dialysis and cld be further complicated with Renal cell carcinoma

Hope that explains it



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