Clinical Quiz Archives - Renal and Urology News

Clinical Quiz

COVID-19 pneumonia chest X-ray

Acute Kidney Injury Associated With COVID-19 Illness

A 63-year-old man with past medical history of diabetes mellitus, hypertension, and hyperlipidemia was hospitalized for COVID-19 pneumonia after being diagnosed with COVID-19 10 days before. He was improving initially, but a few days prior to admission, he experienced worsening shortness of breath and generalized myalgia. Upon presentation, he was hypoxic and required high flow…

Erosion After Artificial Urinary Sphincter Placement

A 65-year-old male patient underwent robotic assisted laparoscopic radical prostatectomy and lymph node dissection for multi-focal Gleason 4+4 and 4+5 prostate cancer diagnosed by prostate needle biopsy prompted by a surveillance PSA level of 10 ng/mL. The patient had hypertension that was well managed on 5 mg of amlodipine daily, but was otherwise healthy. Final…

mid-right renal posterior cortical heterogeneously enhancing mass Fig 1

Bleeding After Robotic Partial Nephrectomy

A 60-year-old woman without any other medical problems underwent a right robotic-assisted laparoscopic partial nephrectomy for a 2.5 cm mid-right renal posterior cortical heterogeneously enhancing mass found on computed tomography (CT) scans (Figures 1 and 2). Final pathology revealed clear cell renal cell carcinoma with negative margins. She was discharged the next day after an uneventful…

A Young Woman With Elevated Creatinine and Uric Acid

A 22-year-old Vietnamese woman was referred to the nephrology clinic for evaluation of elevated creatinine that was incidentally found on a laboratory check. She had a history of papillary thyroid cancer treated with a left thyroid lobectomy in 2017. She was currently in remission. She was found to have had hyperuricemia since high school. She said…

Surgical Management of a Male Patient With LUTS

A 48-year-old White man presented with chronic voiding problems. He was evaluated and found to have high urinary residuals ranging up to 1000 cc. He was started on alpha blockers but had persistent urinary retention. The upper urinary tracts were normal on ultrasound. Office cystoscopy showed no obvious pathology. Video-urodynamics were performed (see Figure 1…

Renal-biopsy-microscopy-glomerular-mesangial-proliferation-cellular-crescent

HIV and Edema in a 34-Year-Old Man

A 34-year-old Hispanic man with HIV presented with gradual onset lower-extremity edema over the past 2 months. He was diagnosed with HIV 10 years earlier. What is the cause of his nephropathy?

Ultrasound showing the left kidney which is echogenic and small

A Case of Severe Uremia in a 26-Year-Old Man

A 26-year-old male patient with chronic kidney disease (CKD) of unknown etiology presented to emergency room with multiple complaints. He has felt unwell for at least 1 month. For the previous 2 weeks, he experienced nausea, vomiting, and profound fatigue. He was told a year ago that dialysis was needed, but he has not received medical…

Hyponatremia in a Thyroidectomy Patient

A 68-year-old woman with recent history of papillary thyroid cancer (Figure 1) underwent bilateral neck dissection and total thyroidectomy 3 months previously. Due to concern for residual cancer, she received radioactive iodine ablation (RAIA) therapy 1 week prior. Prior to RAIA, she was weaned off levothyroxine for several weeks. She had been observing a “low…

Next hm-quiz in Clinical Quiz