Thursday, 8 January 2015

Test your clinical acumen

 Two pyelograms of two different patients have been shown to you .

(1a) A patient of forty has spider leg deformity  with clubbing and cupping of terminal calyces of both the kidneys .
(1b) A patient of fifty five has spider leg deformity with clubbing and cupping of renal calyces of only one kidney .

(2) A patient of ten has been advised pyelography . In his pyelogram there is inward direction of the calyces .

(3) A lady patient of twenty has been advised pyelography. Her pyelogram shows irregular dilatation of the calyces  and cavity formation .

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