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🔥 Let’s discuss an interesting case . Already discussed in #ECNeph . Trying to consolidate it.
🏥 I was called in for a nephrology consult for a patient admitted under pulmonology 🫁
🩸 Microscopic hematuria ++
🏥 I was called in for a nephrology consult for a patient admitted under pulmonology 🫁
🩸 Microscopic hematuria ++
🧠 What do we think in a patient with hemoptysis?
🫘 The nephrologist brain in me thought it narrower. The first hit
#ECNeph we chickened out-> went with MR Urography - here are the images. Don't we hate interpreting MRI, any takers?
#ECNeph MRI -> Possible Thrombus in the infrahepatic IVC extending into Bilateral renal veins. Mod to marked HDN of Rt Kidney showing heterogenous filling defects with Haemorrhage and fluid levels in the dilated system. Rest Abd- unremarkable
#ECNeph MRI findings confirmed with a Venous doppler->Infrahepatic IVC and B/l renal veins visualized with absent colour flow s/o Thrombus. Portal Vein, Rt and Lt portal Branches, Splenic veins were all normal.
Now what? Please suggest further workup?
Now what? Please suggest further workup?
