Education Articles
Clinico Pathologic Conference
A 48-year-old Caucasian Male with Subacute Renal Insufficiency
Test your biopsy readings skills..
17 July 2008
More Clinico Pathologic Conference
If you would like to submit a case to the Gateway please contact Jai Radhakrishnan
Ask The Expert
Should the Hemodialysis Fistula be Ligated in Aortic Stenosis and Severe Heart Failure?
27 March 2008
If you have a difficult case that you would like an expert opinion on, please contact Jai Radhakrishnan
Images
Abdominal Pain and Distension in a Hemodialysis Patient
Test your radiology skills to diagnose the cause of abdominal pain in this dialysis patient...
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Case Presentation
A patient with a juxtaglomerular cell tumor with histological vascular invasion
Background A 51-year-old woman was referred to the Hypertension Clinic of L'Hôtel-Dieu de Québec Hospital, University of Québec Hospital Centre, with hypertension. Her hypertension had been evolving for approximately 30 years and was refractory to maximum doses of four antihypertensive agents. Routine blood testing revealed mild hypokalemia.
Investigations Physical examination, urine and blood analyses including measurement of renin and aldosterone levels, echocardiography, fundoscopy, abdominal–pelvis CT scan and histopathology studies.
Diagnosis Juxtaglomerular cell tumor with vascular invasion.
Management Radical nephrectomy, and follow-up visits to monitor blood pressure and renin levels.
29 July 2008
More Resources
Literature Update: hand-picked nephrology articles
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