Clinical Quiz

Managing Polycystic Kidney Disease

Managing Polycystic Kidney Disease

A 50-year-old male presents to establish nephrology care. He was definitively diagnosed with polycystic kidney disease about 10 years previously. ...

Residual Retroperitoneal Mass Following Chemotherapy for Testicular Cancer

Residual Retroperitoneal Mass Following Chemotherapy for Testicular Cancer

A 32-year-old man is found to have a growing right testicular mass. Orchiectomy is performed, demonstrating a pT2 mixed germ ...

An Unusual Nodular Glomerular Lesion

An Unusual Nodular Glomerular Lesion

A 67-year-old white male with chronic kidney disease (CKD) stage 3a (baseline Cr 1.5mg/dl) and type 2 diabetes mellitus for ...

Newer Approaches to Kidney Cancer Surgery May Involve "Retro" Strategies

Newer Approaches to Kidney Cancer Surgery May Involve "Retro" Strategies

A 45-year-old man is incidentally found to have a 2.5 cm left hilar renal mass posterior to the left renal ...

A Strange Case of Post-Renal Acute Kidney Injury

A Strange Case of Post-Renal Acute Kidney Injury

An Asian male in his 60s presented for a nephrology consultation. Five years ago he sought medical care with complaints ...

Bacillus Calmette-Guerin: Inequalities in Efficacy and Availability

Bacillus Calmette-Guerin: Inequalities in Efficacy and Availability

A 75-year-old man with significant coronary artery disease and renal insufficiency presented with painless gross hematuria and underwent a transurethral ...

Rising Creatinine After Renal Transplantation

Rising Creatinine After Renal Transplantation

A Caucasian woman in her 20s was admitted for acute kidney injury. She had a living-related renal transplant from her ...

Risk of Urine Leak After Nephron-Sparing Surgery

Risk of Urine Leak After Nephron-Sparing Surgery

A 66-year-old man with an incidentally discovered 4.5 cm renal mass with RENAL Nephrometry Score of 2+2+3+p+3=10p underwent a left ...

Assessing Prognosis in a Common Type of Glomerulonephritis?

Assessing Prognosis in a Common Type of Glomerulonephritis?

A 42-year-old Vietnamese man presented for evaluation of microscopic hematuria and apparent chronic kidney disease.

His serum creatinine had ranged from ...

Renal Angiomyolipoma: Trust Few, Do Wrong to None

Renal Angiomyolipoma: Trust Few, Do Wrong to None

A 66-year-old woman is found to have an incidental 5 x 4 x4 cm left upper pole renal mass on ...

A Case of Familial Polyuria

A Case of Familial Polyuria

An 18-year-old male transferred to a local chronic kidney disease clinic. He has a history of polyuria since birth. He ...

Is "Fusion" Technology Heralding the "Anatomic" Age for Prostate Biopsy?

Is "Fusion" Technology Heralding the "Anatomic" Age for Prostate Biopsy?

A 68-year-old man with a history of a previous negative prostate biopsy and rising PSA undergoes a multi-parametric MRI of ...

An Inflammatory Case of Acute Kidney Injury

An Inflammatory Case of Acute Kidney Injury

A 70-year-old woman presented with acute kidney injury. She has a 10-year history of type 2 diabetes and ...

Long-Term Renal Function Following Urinary Diversion

Long-Term Renal Function Following Urinary Diversion

A 54-year-old man with muscle-invasive bladder cancer underwent cystoprostatectomy and ileal orthotopic neobladder urinary diversion.

Pathology demonstrated pT2N0M0 Stage II disease. ...

A Case of Hematuria and Flank Pain

A Case of Hematuria and Flank Pain

A 20-year-old white man presented to the emergency room with severe, left-sided, upper abdominal pain that began upon awakening two ...

Adrenal Mass in a Patient with High-Risk RCC

Adrenal Mass in a Patient with High-Risk RCC

A 63-year-old man with history of a pT2N0M0 Stage II Grade 3 clear cell renal cell carcinoma who had undergone ...

Choice of First-Line Targeted Therapy Agent for Metastatic Clear Cell RCC

Choice of First-Line Targeted Therapy Agent for Metastatic Clear Cell RCC

A 55-year-old woman in excellent overall health was diagnosed with a13 cm left renal mass extending into the left renal ...

A Case of Massive Proteinuria

A Case of Massive Proteinuria

A 50-year-old white woman was admitted to the hospital for new-onset anasarca. She has no prior history of chronic kidney ...

The Role of Surgery in Patients with Metastatic RCC

The Role of Surgery in Patients with Metastatic RCC

A 55-year-old woman in excellent overall health underwent a CT urogram for evaluation of gross hematuria. Imaging demonstrates a 13 ...

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