The Kidney in Systemic Disease

Question 1

Proteinurea with red cell casts in an asthmatic who frequently complains of sinusitis and a runny nose. They have recently been feeling a bit under the weather and have developed a purple rash

Answer 1

Churg-Strauss

Question 2

Patient complains of blood discharge from nose, crusting, sinusitis and has a saddle deformity. They present with haemoptysis and proteinuria.

Answer 2

Granulomatosis with polyangitis

Question 3

Patient presents feeling sytemically unwell, with haemoptysis, pleuritic pain and SOB. They also have proteinurea

Answer 3

Microscopic Polyangiitis

Question 4

what does biopsy of the kidney show in vasculitis

Answer 4

shows segmental necrotising glomerulonephritis

with cresents

Question 5

eldelry man persents with acute kidney injury after being on an ACE inhibitor for a week. He has pulmonary oedema and passed history of angina

Answer 5

Ischaemic Renal Disease

Question 6

what are the investigations and management of renal artery stenosis?

Answer 6

Doppler Scan

USS

MRA, Magnetic Resonance Angiography

Angiolpasty,

Stenting

Midal treatment