Clinical Quiz Archives - Renal and Urology News

Clinical Quiz

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…

Heterogeneous Mass Right Adrenal Gland

A Localized Advanced Adrenal Mass in a 61-Year-Old Woman

A 61-year-old white woman experienced progressive right flank pain over a 6-month period. Cross-sectional imaging (computed tomography [CT] of the abdomen and pelvis; MR venogram) demonstrated a 10.9 x 9 x 8.4 cm right adrenal mass with concern for liver invasion and inferior vena cava involvement. Her metastatic workup was negative. She underwent an adrenal…

An ESRD Patient With Arm Swelling

A 52-year-old woman with type 2 diabetes mellitus (DM2), hypertension, and end-stage renal disease (ESRD) due to diabetic nephropathy has been on renal replacement therapy (RRT) for the past 5 years. She was recently transitioned from peritoneal dialysis to hemodialysis (HD) because of frequent peritonitis and subsequent peritoneal membrane failure. There is a tunneled HD catheter…

Microscopic examination revealed the presence of brown crystals

Cryptic CKD in a Man With a Kidney Stone History

A 47-year-old man presented with slowly progressive chronic kidney disease (CKD) of unknown cause. He has a history of passing a kidney stone at age 30. A stone analysis was not performed at that time, and he has had no further stones.  At age 40, his serum creatinine was 1.15 mg/dL; at age 47, the…

CT kidney cystic mass

A 34-Year-Old Man With a Large Right Locally Advanced Renal Mass

A 34-year-old Hispanic-American man initially presented to discuss management of an incidentally detected large locally advanced right solid and cystic renal mass found during an abdominal pain (x 3 days) and early satiety workup. In addition, he was noted to have new small non-painful skin nodules on his trunk and arms that had been present for…

A Patient With Focal Segmental Glomerulosclerosis

A 32-year-old black man was referred to a nephrology clinic for proteinuria. He reported foamy urine for a few months. Urinalysis was positive for protein. He denied any family history of kidney diseases. He was not taking medications except for ibuprofen occasionally for headache. He denied use of tobacco or illicit drugs. Physical examination showed…

A Left Testicular Mass in a 29-Year-Old Man

A 29-year-old white male patient initially presented with a left solid testicular mass found on self-examination. Per the patient, it is painless and has enlarged over a several month period. He has a remote history of a left undescended testicle and orchiopexy at age 6 years. The patient’s tumor markers (AFP, ß-HCG, LDH) were within…

Next hm-quiz in Clinical Quiz