{"title":"[Autosomal dominant polycystic kidney disease].","authors":"S. Horie","doi":"10.32388/v55akw","DOIUrl":null,"url":null,"abstract":"Copyright © 2008 Massachusetts Medical Society. Shortly after being elbowed in the flank during a pickup basketball game, a 35-year-old healthy man has severe, colicky abdominal pain followed by gross hematuria. He is hospitalized, and a renal ultrasound scan reveals bilateral polycystic kidneys and liver cysts, previously unknown to the patient. The blood pressure is 160/100 mm Hg. The serum creatinine concentration is 0.9 mg per deciliter (80 μmol per liter). The pain subsides in 2 days with analgesics, rest, and fluids; the gross hematuria resolves in 4 days, although microscopic hematuria persists. How should his case be further evaluated and managed?","PeriodicalId":19721,"journal":{"name":"Nihon Jinzo Gakkai shi","volume":"23 1","pages":"6-9"},"PeriodicalIF":0.0000,"publicationDate":"2020-02-07","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":"0","resultStr":null,"platform":"Semanticscholar","paperid":null,"PeriodicalName":"Nihon Jinzo Gakkai shi","FirstCategoryId":"1085","ListUrlMain":"https://doi.org/10.32388/v55akw","RegionNum":0,"RegionCategory":null,"ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":null,"EPubDate":"","PubModel":"","JCR":"","JCRName":"","Score":null,"Total":0}
引用次数: 0
[常染色体显性多囊肾病]。
版权所有©2008马萨诸塞州医学协会。一名35岁的健康男子在一场篮球比赛中被肘击腹部后不久,出现了严重的绞痛性腹痛,并伴有明显的血尿。他住院,肾脏超声扫描显示双侧多囊肾和肝囊肿,患者以前不知道。血压160/100 mm Hg,血清肌酐浓度为0.9 mg /分升(80 μmol / l)。止痛、休息和补液后2天疼痛消退;肉眼血尿在4天内消失,但镜下血尿持续存在。如何进一步评估和管理他的病例?
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