Question

A patient describes severe, periodic flank pain in waves, hematuria and oliguria (decreased urine output). A...

A patient describes severe, periodic flank pain in waves, hematuria and oliguria (decreased urine output). A urinalysis shows:

Normal Cytology
Normal Electrolytes
No Leukocyte Esterase
Normal Osmolarity

Abdominal CT shows two opaque masses, one in the Left Renal Calyx and another obstructing the Left Ureter. He as:

Group of answer choices

A. Uric Acid Nephrolithiasis

B. Renal Cell Carcinoma

C. Maple Syrup Urine Disease

D. Nephrotic Syndrome

E. Calcium Oxalate Nephrolithiasis

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Answer #1

Answer.

E. Calcium oxalate Nephrolithiasis.

  • Normal cytology indicate not a carcinoma.
  • No leukocyte esterase indicates Renal stone.
  • Abdominal CT Radio - Opaque mass indicates Calcium oxalate.
  • Where as Radio - Lucent indicates Uric acid crystal.

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