Module 08: Renal Medicine (Assessment)
A 68 –year-old man presents with a 1 month history of noticing some blood in his urine, mixed throughout the stream. He has persistent dull ache of the left loin during this period. Examination reveals a left loin mass.
Investigation reveals:
Haemoglobin 10.9g/dl[ 13.5-17.0]
White blood cells 6.5 109/l [ 3.5-10]
Urea 10.1mmol/l[ 2.5-6.5]
Creatinine 111umol/l [50-120]
ESR 90mm/hr
What is the most appropriate diagnosis?
A. Polycystitic Kidney disease
B. Renal calculi
C. Renal-cell carcinoma
D. Prostate cancer
E. Hydronephrosis
A 68 –year-old man presents with a 1 month history of noticing some blood in his urine, mixed throughout the stream. He has persistent dull ache of the left loin during this period. Examination reveals a left loin mass.
Investigation reveals:
Haemoglobin 10.9g/dl[ 13.5-17.0]
White blood cells 6.5 109/l [ 3.5-10]
Urea 10.1mmol/l[ 2.5-6.5]
Creatinine 111umol/l [50-120]
ESR 90mm/hr
What is the most appropriate diagnosis?
A. Polycystitic Kidney disease
B. Renal calculi
C. Renal-cell carcinoma
D. Prostate cancer
E. Hydronephrosis