We use cookies to help you navigate efficiently and perform certain functions. You will find detailed information about all cookies under each consent category below.
The cookies that are categorized as "Necessary" are stored on your browser as they are essential for enabling the basic functionalities of the site. ...
Necessary cookies are required to enable the basic features of this site, such as providing secure log-in or adjusting your consent preferences. These cookies do not store any personally identifiable data.
Functional cookies help perform certain functionalities like sharing the content of the website on social media platforms, collecting feedback, and other third-party features.
Analytical cookies are used to understand how visitors interact with the website. These cookies help provide information on metrics such as the number of visitors, bounce rate, traffic source, etc.
Performance cookies are used to understand and analyze the key performance indexes of the website which helps in delivering a better user experience for the visitors.
Advertisement cookies are used to provide visitors with customized advertisements based on the pages you visited previously and to analyze the effectiveness of the ad campaigns.
Presenting clinical signs: bilateral hyphema, sudden onset blindness. Hypertensive. Chronic azotemia. BUN 41, Crea 2.0, ALKP 1180.
Presenting clinical signs: bilateral hyphema, sudden onset blindness. Hypertensive. Chronic azotemia. BUN 41, Crea 2.0, ALKP 1180.
The right adrenal gland was uniform with no evident pathology. The right adrenal gland measured 3.38 x 0.99 cm. The left adrenal gland was comprised of a mineralizing mass that measured 6.15 x 5.06 cm.
The kidneys presented moderate degenerative changes and undulating contour. Occasional, anechoic cortical cyst and moderate interstitial nephrosis pattern. The right kidney measured 8.35 cm. The left kidney measured 7.5 cm with pyelectasia that measured 0.42 cm. The pancreas presented mixed, hypoechoic nodular changes and hyperechoic, ill defined surrounding fat.
Occasionally pheochromocytomas can mineralize. If the USPG is lessthan 1.020 then LDDST is recommended. Surgical consultation is recommended with expectations toward partial cavotomy. There was no obvious metastatic disease noted. Three view chest radiographs ar warranted. The hypertension is likely driving the kidneys in this patient. Ace inhibitors and Phenoxybenzamine are recommended to stabilize the kidneys for potential surgical intervention. Gven the pyelectasia of the left kidney, urine culture would be warranted as well as treatment for any evidence of urinary tract infection.
