Clinical Quiz

Fevers After BCG Instillation Post-TURBT

A 65-year-old man with a history of T1 high-grade bladder cancer with CIS underwent successful transurethral resection of bladder tumor (TURBT), without residual tumor on second resection. Given his pathology, his treatment plan included BCG instillations. The patient tolerated his first bacillus Calmette-Guérin (BCG) instillation well 4 weeks after his second TURBT. After his second…

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…

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