Answer Hello, Welcome to icliniq.com. Abnormal renal rotation, also known as renal malrotation, is an anatomical difference in the position of the kidneys, specifically the abnormal orientation of the renal hilum. It can arise unilaterally or bilaterally. It is usually always an asymptomatic, accidental finding. The renal hilum generally faces anteromedially.
Hello, I am glad you chose our platform for your medical-related queries. I can understand your concern. Please answer my questions below. May I know the reason for these tests? Was there any reason or symptom that prompted you to do these tests? Were you experiencing any infections in the last one to two months for which you were taking medicines or painkillers? Did you notice any significant swelling in your feet or ankles in the last few days? Did you observe any decrease in your urine output in the last few days? Regarding the reports, you have significant proteinuria, which is in the nephrotic range. Your ultrasound also indicates slight damage to the kidney, but fortunately, the size and structure remain intact. It most probably appears to be an acute event triggered by something that has occurred in less than two months.
Hello, Welcome to icliniq.com. I understand the concern. Based on the information, kidney function has declined significantly, with estimated glomerular filtration rate (eGFR) decreasing from 145 to 63 within eight months. An eGFR of 63 in a 19-year-old male is concerning, as normal kidney function at this age is generally above 90 milliliters per minute per 1.73 square meters.
Hi, Welcome to icliniq.com. I understand your concerns, and I want to explain this calmly and clearly, step by step, in simple terms. As per your grandmother's symptoms, it shows a renal-driven, volume-dependent hypertension characterized by sympathetic surges rather than a primary cardiac issue. The current blood pressure reading of 170/99 mm Hg with a pulse of 123 beats per minute indicates decompensation rather than a newly developed pathology. The use of Cilnidipine at 20 mg twice daily and Concor (Bisoprolol) at 5 mg once daily is understandable.
Hi, Welcome to icliniq.com. I can understand your concern. Your ultrasound abdomen being normal is a very positive finding. It means the kidneys are of normal size and structure, with no stones, obstruction, or chronic damage. To summarise your reports: Creatinine is 1.
Hello, Welcome to icliniq.com. I can understand your concern. Your report shows a new and significant increase in urine albumin (microalbumin 156 mg/L), while serum creatinine (1.0 mg/dL) and eGFR (estimated glomerular filtration rate) (95 mL/min) are normal. This tells us that the kidneys’ filtering capacity is preserved, but the glomeruli are allowing protein to leak, which is an early sign of kidney stress, not kidney failure.
Hello, Welcome to icliniq.com. I have gone through your query and understand your concern. Based on the Doppler report you have attached (attachment removed to protect the patient’s identity), there is no evidence of renal artery stenosis (the narrowing of one or both arteries supplying blood to the kidneys). So the Doppler itself is normal, and there is no structural abnormality to explain your high blood pressure. Even if your renal function test (RFT) is standard, when a patient presents with high blood pressure, such as 160/100 mm/Hg, we always keep a few differential diagnoses in mind.
Hi, Welcome to icliniq.com. I read your query and understand your concerns. A creatinine level greater than 500 micromoles per liter (approximately 5.6 milligrams per deciliter) indicates that your grandmother has severely reduced kidney function, likely due to advanced chronic kidney disease (CKD stage 5) or possibly acute kidney injury on top of existing CKD. Determining whether your grandmother needs dialysis immediately involves several factors beyond just the creatinine level.
Hello, Welcome to icliniq.com. I understand your concern. From the ultrasound (attachment removed to protect the patient's identity), both kidneys are showing changes that happen when the damage has been present for many years. The kidney tissue has become more echogenic and has lost the normal internal pattern we usually see. This tells us that the kidneys have become scarred and are no longer functioning normally.
Hello,Welcome to icliniq.com.I went through your query.I went through her reports (the attachments were removed to protect the patient's identity).BUN (blood urea nitrogen) is not a specific marker for the kidneys. BUN may be elevated due to:1.
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