Concluded Case

RENAL MALIGNANCY

A 62yrs. old male patient, complaining with severe pain at left hypochondriac region , other complications are present like burning mituration, hematuria, wait loss, anemetic, hypertensive , loss of appetite. O/E BP 170/ 100mmHg Pulse 90bpm R/R 20 bpm Spo2 98% Chest B/L clear CVS s1 & s2 P PA° DM° Advice for haematological investigation KFT, CBC urinalysis IVP CT ➡️Here I suggest for left radical nephrectomy after proper investigation. Please suggest.....respected doctors..... Now the patient is on conservatives management.

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Concluded answer
Lt kideney RCC Malignancy Advise CT scan abdomen with pelvis Radical nephrectomy
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SUGGESTIVE OF LT. KIDNEY... ...SUSPECTED MALIGNANCY... ADVISABLE C T. SCAN.... ABDOMEN. WITH PELVIS.... MANAGEMENT... ACCORDINGLY
Suggestive of Rt Nephrolithiasis Renal Hetrogeneous Mass.(Lt). Hypertensive. UTI. Respected Dr.Maqusud Sir. Your Adviced Investigations R must. I think investigate ECG,2DEcho also And R/0 RCC/UCC. I m agree Sir. First choice should b Radical Nepherectomy And 2ndly Shock wave Lithotripsy SOS. Meanwhile Continue treatment symptomatically.
Carcinoma lt kidney. CT scan of Abdomen with pelvis can be conclusive . Your decision of Radical Nephrectomy is right.till than keep pt under observation and on conservative treatment.
Thank you so much respected dr. Ashok Leel sir....
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Malignancy Ad biopsy to confirm
Lt kideney RCC Malignancy Advise CT scan abdomen with pelvis Radical nephrectomy
Any Sol in kidney should be treated with serious suspicion specially at an advanced age as this case is. Needs cect .If it confirms a sol with/or without local spread ,a radical nephrectomy should be planned. A biopsy is at best an academic exercise as there is no other d/d but may be done to satisfy curiosity
CECT of abdomen Renal Scintigraphy,/ DMSA nuclear scan . Laparoscopic biopsy from lesion in left kidney, followed by frozen section , and proceed. Even this is renal malignancy, nephron sparing Partial nephrectomy can be done .
Nephrolithiasis/kidney stone make 1/8 th kashaya withPashana bhedi churan + gokshura churn + varun chal churan BID dose. Hazrul Yahood Bhasma 200 mg BID with honey,and gokshuradi guggulu 2 bid.
?? RENAL CELL CARCINOMA LEFT KIDNEY DEFINITELY GO FOR LEFT RADICAL NEPHRECTOMY AFTER COMPLETE PROPER INVESTIGATIONS ...
1.Lt Renal Hetrogeneous Mass Rule out RCC. 2.Rt Nephrolithiasis If needed SWL. Meanwhile Treat symptomatically Sir
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