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10 yr FS DSH with diarrhea and mild azotemia. Ultrasound a few months ago showed plump mesenteric lymph nodes and mild kidney enlargement with hyperechoic cortices. The kidneys have increased in size on today’s exam and are both 4.8/4.9 cm in diameter. What differentials should I be including?
Comments
If diabetic they get enlarged kidneys but retain structure. Acute insult and swelling will do this as well and fluid tx to some degree. If architecture distorts then lsa and fip are potentials. Architecture seems conserved here though.
Thank you, Eric!