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Enlarged kidney and jaundice in baby - Online Doctor Chats

Date : 21-Feb-2012
User rating for this question
Very Good Posted in: Child Health
Answered by

General & Family Physician
Practicing since : 2004
Answered : 37 Questions
User :   Hi

Doctor :   hi
Doctor :   Dr. XXXXXXXX here.
Doctor :   please proceed with your health query
User :   I have to talk with a Nephrologist
User :   Good Evening Dr AAAAAAA
Doctor :   I am a General Practitioner, I believe I can help you within my expertise and If required I shall recommend a specialist.
Doctor :   if you want to directly consult with them, then I will provide the link for it.
Doctor :   they are available for e-mail and phone consultation
User :   sure
User :   my child is 7 month old
Doctor :   ok
User :   after bith he was suffered with Zuaindic
User :   pili
User :   pila
User :   In hindi Pilia
Doctor :   WWW.WWWW.WW visit this link to consult a nephrologist, if you would like to opt for specialist opinion.
Doctor :   do you mean to say your child suffered from Jaundice?
User :   ya
Doctor :   what symptoms does he/she have?
User :   birth date 25th dec
Doctor :   ok. please provide birth weight
User :   27th dec he was admitted in fortis jaipur due to jaundice
User :   hs blood was changed with mother blood group
Doctor :   ok. what was the cause for jaundice at that time?
User :   I don't know
User :   please let me complete
Doctor :   yes, please proceed.
User :   then in 1st week of april he was suffered with nemonia....cold
User :   Can I write in Hindi?
Doctor :   ok, you can, but the terms might not be clear. I will need to ask details if in doubt
User :   Now on thrusday we saw that in his stomach, left side, he has a like ball
User :   clearly refleacting
User :   we gone through with ultra sound on the advise of local doctor
User :   in ultrasound report is..........Left Kidney is enlarged in size
User :   Are u there?
User :   please respond me.
Doctor :   yes. I am waiting for you to finish giving al details
User :   Left kidney is enlarged in size. There is gross hydronephrosos in left kidney with thinned out cortex.
User :   There is a large anechoic cystic lesion on medical aspect of left kidney measuring 7.4 * 6.3cm in size - most likely dilated renal pelvis
User :   no evidence of any calculus seen
Doctor :   ok
User :   Right kidney size is 6.3 * 2.5
Doctor :   is there any liver changes documented?
User :   Urinary Bladder is partially distended
Doctor :   was any liver function tests done?like serum bilirubin levels?
User :   no
Doctor :   ok
User :   Urine sample has been given for Routine and culture
Doctor :   was the cyst in renal pelvis area document as a solid cyst or fluid filled cyst?
User :   not written on test report
Doctor :   ok.
User :   but doctor is saying that urine is in kidney
Doctor :   yes, urine is kidney is responsible for the hydronephrosis
User :   and they suggested for DTPA
Doctor :   the cyst ic lesions should be further evaluated to see if it is a solid cyst or fluid filled cyst
User :   What is DTPA
User :   should we go for DTPA
Doctor :   it is a type of neuroimaging
Doctor :   it is a MRI scan done with use of substance called DTPA
Doctor :   to visualize the extent of lesion and to see if iron uptake is more in the lesion.
User :   should we go for this test
Doctor :   yes it will help in identifying whatthe probable cause is for the cyst
User :   and in your opinion, by these respot, what should we do
User :   Who will be the best doctor for this treatment
Doctor :   pediatric nephrologist would be best.
User :   any name
User :   any anme?
Doctor :   go ahead with the tests as advised by teh treating doctor
Doctor :   and take referral to a pediatric nephrologist
User :   any name?
User :   Pediatric Nephr
Doctor :   where are you located?
User :   in Narnaul Haryana
User :   near by NH 8
Doctor :   please give me a moment
User :   Jaipur165 and Delhi 150
User :   Mine 15 minutes would be expired
User :   and only two or three questions ar eleft
Doctor :   you can meet a pediatric nephrologistUser :   Name?
Doctor :   I am chatting with other patiens simultaneously soplease bear with for a reply
Doctor :   I am locared in so I dont have personal refernce for
Doctor :   I have to search in database to give you details, so it takes time
User :   Best
User :   Currently Out
Doctor :   for that you can approach
Doctor :   you can continue with him
User :   He was the HOD of Nephrologist in
er : But as per them there is no roll oiatric
Doctor :   good
Doctor :   then he is one of the best, continue to consult with him
User :   He is saying that it may be we have to remove the Kidney
Doctor :   it will depend on teh DTPA scan result
User :   Ok Thanks
User :   Thanks for your valuable suggestions
Doctor :   is there anything else I can help you with?
User :   If needed I will contact you tomorrow post the test
User :   Bye
User :   Good Night
Doctor :   thanks for consulting me. bye for now. sure you can get back to me with the test results
Doctor :   bye
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