Question

Case Ico-delete Highlights

A 42-year-old woman presents for an evaluation of back pain. She states that she has a history of recurrent UTIs; she notes that on occasion her urine appears red. Upon physical examination, she demonstrates CVA tenderness. Her vital signs include blood pressure of 145/90 mm Hg, respiratory rate of 16 breaths/min, and heart rate of 72 bpm. Urinalysis shows leukocyte esterase 1+, protein trace, and blood 3+. The microscopic examination reveals 5-10 WBCs/hpf and 20-30 RBCs/hpf. An abdominal ultrasound demonstrates multiple, bilateral fluid collections within the kidneys.

Question
What, if any, is the most likely underlying renal pathology?

Answer 1

The correct answer would be - polycystic kidney disease.

Step-by-step explanation:

The given clinical picture or information suggests that it is most probably an infection that takes place in one or both the kidneys and leads to the setting of polycystic kidney disease.

The given symptoms such as abdominal or flank pain, recurrent UTIs, blood in the urine, and hypertension are characteristic symptoms of polycystic kidney disease. Cystic lesions found on abdominal ultrasound are a confirmation of the disorder.

The key disease of this polycystic disorder is Goodpasture syndrome which shows symptoms of both glomerulonephritis and pulmonary hemorrhages, and medullary sponge kidney disorder.