Clinical Quiz

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May 2012: Small Renal Masses and Drug-Eluting Stents — How to Best Balance the Risks?

A 55-year-old male with significant history of coronary artery disease is found to have an intraparenchymal 2 cm left-enhancing small renal mass (SRM) with a nephrometry score of 1+3+3+x+3=10x.

April 2012: 66-Year-Old Woman with Acute-on-Chronic Renal Failure and Skin Rash

A 66-year-old Caucasian woman was admitted to the hospital and transferred to the intensive care unit after she developed anuric acute renal failure.

March 2012: High-Grade Urothelial Carcinoma Invading Lamina Propria

A 63-year-old otherwise healthy male is referred for evaluation of hematuria. A computed tomography urogram reveals a tumor on left lateral wall.

February 2012: More to Offer After Nephroureterectomy?

A 70-year-old man with stage 3 chronic kidney disease presents with gross hematuria. A magnetic resonance imaging scan reveals a large volume of tumor in the left kidney and the left ureter.

January 2012: Cavitary Lesions in a 41-Year-Old Man

A 41-year-old Venezuelan man with no past medical history was admitted last October for cough productive of blood-tinged sputum, fevers, weight loss of 25 lbs. during the previous three weeks.

December 2011: "Leave No Adrenal Behind" - Still the Right Policy?

A 62-year-old man is found to have a 10-cm upper pole enhancing left renal mass with a nephrometry score of 3+2+3+p+3=11p upon evaluation of gross hematuria. Although the tumor is adjacent to the adrenal gland, the gland appears uninvolved.

November 2011: Failed Kidney Transplant in a 31-Year-Old Woman

A 31-year-old woman with a history of renal failure of unknown origin presents for transplant waitlist work-up after a failed kidney transplant one year previously. She had been on hemodialysis from 2000 to 2005.

October 2011: Does Past Pathology Predict Future Results?

A 59-year-old man with history of renal cell carcinoma (RCC) presents for urological oncological evaluation after a community urologist discovers a 5.5 cm enhancing renal mass with a nephrometry score of 2+1+3+p+1=7p in his right solitary kidney.

September 2011: Elderly Man with Anorexia and Acute Renal Failure

A 75-year-old man presented to the emergency department with weakness, anorexia, and nausea, and was found to have acute renal failure with a creatinine of 7.9 mg/dL.

August 2011: With Bladder Tumors, Size Isn't Everything

A 45-year-old otherwise healthy male presented to an emergency department with urinary retention.

July 2011: Increased Bleeding from Dialysis Access

A 71-year-old female on hemodialysis three times a week complained of increased bleeding lasting more than 15 minutes from her access, which is in her left upper extremity.

June 2011: Should We Be "Washing-Out" for Adrenal Incidentalomas?

This month's quiz involves an adrenal incidentaloma in a 55-year-old woman.

May 2011: African-American Woman with Urinary Frequency, Bladder Discomfort

This month's quiz involves an African-American woman presenting with urinary frequency, bladder discomfort, and renal failure .

April 2011: Cystolithiasis in a Man With Painless Gross Hematuria

A robust 80-year-old male on active surveillance for low-risk adenocarcinoma of the prostate developed painless gross hematuria. He reported minimal to moderate lower urinary tract symptoms with an American Urologic Association symptom score of 10 and a quality of life score of 2.

March 2011: Hispanic Woman Admitted With Left Flank Pain

Take this quiz and you will be entered in a contest to win a $100 American Express gift card. This month's quiz is centered around a 33-year-old Hispanic female was admitted for left flank pain and presumed “pyelonephritis.”