Pioneer Valley Urology, #Urologic Surgeon👨🏻⚕️, BWH/Harvard Uro Alum, Hubby & Dad, Like👨🏻🍳⚽️🥁🏂👨🏻🔬. Urology is AWESOME.
Nov 13, 2019 • 7 tweets • 3 min read
Great #urology#medtwitter case; 55y female h/o recurrent proteus UTIs, 40lbs unintentional weight loss, bouts of pyelo... felt awful. In ED, fever 🤒 102, u/a ➡️infected, & non contrast CT scan showing:
ED w/ concern for broad differential including ♋️ RCC or other cancers, etc. History and labs/ imaging highly suspicious for XGP, xanthogranulomatous pyelonephritis.