Renal Medicine

Inpatient and outpatient renal disease of all types.

Cases are listed below.  Via Advanced Search in the right hand menu bar you can narrow the list down by Tags such as Level, or subtopic. Or you can search everywhere in the box at the top right.  Need to learn more?

Cases are listed below.  Via Advanced Search in the right hand menu bar you can narrow the list down by Tags, including Level of Difficulty (You can use the tags to choose by topic and difficulty (A=Learner; B=Practioner; C=Expert), e.g. search on Renal Medicine and Level A).

You may also be interested in Renal Advice Line cases

Please send examples you’d like us to consider at Send a Case – you will be credited.  And give us feedback by commenting or email.

Cases in Renal Medicine

  • A girl with facial swelling A 14 yearl old schoolgirl is referred from Thyolo District Hospital, Malawi, complaining of facial swelling for 3 weeks, worse in the morning.  3 days later she developed bilateral leg swelling and increasing abdominal distension with some suprapubic colicky pains.  She reported concentrated urine but no haematuria.  There was no significant past ...
  • A call from a concerned GP They have been treating an 86yo lady who is resident in a local nursing home.  She has known Stage 3 CKD, hypertension, peripheral vascular disease, eczema, osteoporosis and mild/moderate Alzheimer’s disease (which which she is usually independent in dressing and eating+drinking).  She has suffered from urinary tract infections in the past and these have been ...
  • A call from the bone marrow transplant unit They are concerned about the renal function of a 43yo lady who is day 26 post allogenic stem cell transplant for relapsed Acute Myeloid Leukaemia (conditioning with alemtuzumab, melphalan and fludarabine.  Her pre-transplant renal function was normal (creatinine around 60umol/L, eGFR>60ml/min), but has been on a pattern of fluctuating deterioration since around day 5 post ...
  • A call from the hepatology ward A call from the Hepatology FY1:  She has been asked to ring due to concerns on the morning ward round about worsening renal function – specifically do we think this is hepato-renal syndrome? 56yo with history of alcohol excess, chronic obstructive airways disease and known cirrhosis with and previous oesophageal varices (in banding program).  Admitted 5 ...
  • A call from the orthopaedic ward A 68yo retired hospital cook had been admitted electively for total knee replacement 4 days previously. There was a background of longstanding rheumatoid arthritis, treated hypertension and CKD Stage 3 for which she no longer attends the renal clinic. Serial Creatinines Pre admission clinic               151umol/L Day 1 post op                         ...
  • A 16 year old girl with oedema A 16 year old girl presents to Queen Elizabeth Hospital, Blantyre with a two-month history of facial oedema.  It is worse in the morning, slightly better at night and not associated with shortness of breath or cough.  She has been well recently, with no intercurrent illnesses. Some kind of antimicrobial was prescribed a month ago, ...
  • A 25 year old woman with a rash and raised creatinine A 25 year old woman is referred with a 6 month history of fatigue, joint pain, pleuritic chest pain and facial rash. Three months ago at another hospital she was found to be unwell with a Creatinine of 500 micromol/l, Hb 8.2 g/dl, and urinalysis showed 3+ protein, 3+ blood. She was treated with some ...
  • An HIV positive woman with low eGFR A 38 year old woman who has been on anti-retroviral therapy for 3 years is found to have a creatinine of 230 micromol/l (2.6 mg/dl).  She is taking Tenofivir, Efavirenz and cotrimoxazole and has been compliant with therapy.  She complains of recurrent dysuria and frequency, as well as intermittent fevers which do not always seem ...
  • Renal failure from the HIV clinic A 32 year old man presents wtih 3 days of vomiting, nausea, and malaise.  HIV was diagnosed 6 months ago but he has not been started on ant-retroviral therapy.  He has no other significant past medical history. He is apyrexial.  BP is 100/60 and pulse 82.  He has no oedema.  JVP is not visible when lying ...
  • An oedematous 15 year old A 15 year girl presents to Queen Elizabeth Hospital Blantyre with a one-month history of facial oedema.  It is worse in the morning, slightly better at night and not associated with shortness of breath or cough.  She has been well recently, with no intercurrent illnesses.  She has never had any body swelling until noticing swelling ...

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