Back and lower abdominal pain

19 years old female with clear history, she admitted to the hospital for back and lower abdominal pain, she had this abdominal pain for half a year with Percocet prescribed from her family doctor, so the blood tests came with creatinine 2.66 BUN 14 with lymphocytes 0.7 platelets 135, HB 10.3, ANA 1:100, urinalysis negative for glucose/protein/blood/leukocyte. She had abdominal US that u can see in the pics. Please advice.

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HYDRONEPHROSIS WITH MEMBRANOUS GLOMERULONEPHRITIS .. AGGRAVATED. NEEDS FURTHER INVESTIGATION AND EVALUATION TO CONCLUDE AND TREATMENT PLAN.
Thanks Dr Kute Ankush
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Hydronephrosis with membranous glomerulonephritis probably aggravated by percocet
I agreed with Dr. S. Agraval sir.
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Tab Percocet is oxycodone with paracetamol so would not be responsible for renal failure Need more details,.renal size on ultrasound Her menstrual status The arterial flow is impaired There's lack of corticomedullary difference is absent There's anemia,lack of other description ANA positive But full ENA work up not available Cause of abdominal pain and back pain not investigated...so Xray should be ordered For one cannot ignore ankylosing spondylitis Or PID ANCA not done
DILATETED ..R..PELVIS.. AS A RESULT OF.. ? STAGHORN CALCULI.. AND.. INFECTION..
Stag horn calculus ? Go for DTPA scam for viability and plan for nephrectomy
Look like dilated renal pelvis Starghon calculi
Multiple hypoechoic mass kidney ? RCC