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What Does The Kidney Function Tests Report Indicate?
Question: Following are the details of my Father of 74 years age.
KIDNEYS:
Left kidney is normal in size and outline RT Kidney is slightly small in size and shows two Anecheoic Cortical Cysts in the upper and middle Cortex resp. TWO Echogenic Calculi of 5 mm each are seen in the Middle Calyx of RT KIDNEY alongwith GRADE I increased echogenicity of the cortex. LEFT KIDNEY shows a slightly dilated middle CALYX
Corticomedullary differentiation is maintained.
No hydronephrosis or calculus is seen.
RT KIDNEY SIZE=8.2X3.5CM
LT KIDNEY SIZE=10.9X4.1CM
URINARY BLADDER:
Well distended. No evidence of cystitis.
No calculus seen
PROSTATE:
Is nornal in size and echotexture. ( 4.2X3.2X4.4CM)
APPROX VOLUME IS 32CC
URINARY VOLUME IS 120CC
RESIDUAL URINE IS 20CC
IMP----- SLIGHTLY SMALL RT KIDNEY WITH GRADE I INCREASED ECHOGENICITY
RT RENAL CORTICAL CYSTS WITH RT RENAL CALCULI
KIDNEYS:
Left kidney is normal in size and outline RT Kidney is slightly small in size and shows two Anecheoic Cortical Cysts in the upper and middle Cortex resp. TWO Echogenic Calculi of 5 mm each are seen in the Middle Calyx of RT KIDNEY alongwith GRADE I increased echogenicity of the cortex. LEFT KIDNEY shows a slightly dilated middle CALYX
Corticomedullary differentiation is maintained.
No hydronephrosis or calculus is seen.
RT KIDNEY SIZE=8.2X3.5CM
LT KIDNEY SIZE=10.9X4.1CM
URINARY BLADDER:
Well distended. No evidence of cystitis.
No calculus seen
PROSTATE:
Is nornal in size and echotexture. ( 4.2X3.2X4.4CM)
APPROX VOLUME IS 32CC
URINARY VOLUME IS 120CC
RESIDUAL URINE IS 20CC
IMP----- SLIGHTLY SMALL RT KIDNEY WITH GRADE I INCREASED ECHOGENICITY
RT RENAL CORTICAL CYSTS WITH RT RENAL CALCULI
Brief Answer:
Increased echo texture may indicate renal parenchymal disease.
Detailed Answer:
Hello
Small size kidney with increased echo texture may indicate renal parenchymal disease.
It may be due to many reasons like glomerulonephritis,chronic diabetes mellitus,chronic hypertension etc.
This need clinical correlation and further investigations.
Investigations include routine hemogram,random blood sugar,urine RE/ME,complete renal function test(include serum urea,creatinine,creatinine clearance,serum sodium,potassium,chloride,bicarbonate,phosphate),GFR estimation,24 hour urinary protein excretion etc.
He may need diet restrictions and medicines after investigations.
Simple renal cysts are generally age related findings and generally it only require follow up ultrasound.Treatment is required only if there is infection,pain,size enlargement etc.
Echogenic calculi may be flushed out with well hydration.This also need follow up.
Get well soon.
Hope I have answered your question.
Further queries are most welcome.
Take Care
Dr.Indu XXXXXXX
Increased echo texture may indicate renal parenchymal disease.
Detailed Answer:
Hello
Small size kidney with increased echo texture may indicate renal parenchymal disease.
It may be due to many reasons like glomerulonephritis,chronic diabetes mellitus,chronic hypertension etc.
This need clinical correlation and further investigations.
Investigations include routine hemogram,random blood sugar,urine RE/ME,complete renal function test(include serum urea,creatinine,creatinine clearance,serum sodium,potassium,chloride,bicarbonate,phosphate),GFR estimation,24 hour urinary protein excretion etc.
He may need diet restrictions and medicines after investigations.
Simple renal cysts are generally age related findings and generally it only require follow up ultrasound.Treatment is required only if there is infection,pain,size enlargement etc.
Echogenic calculi may be flushed out with well hydration.This also need follow up.
Get well soon.
Hope I have answered your question.
Further queries are most welcome.
Take Care
Dr.Indu XXXXXXX
Above answer was peer-reviewed by :
Dr. Chakravarthy Mazumdar
Thanks a lot Doctor, I have attached the Complete Renal Profile Test and my General Physician's Prescription for your reference.
Kindly provide your feedback and way forward.
Thanks and Regards,
xxxxxx
Kindly provide your feedback and way forward.
Thanks and Regards,
xxxxxx
Brief Answer:
Main finding is minimally raised creatinine level.
Detailed Answer:
Hello
I have thoroughly gone through uploaded reports.
Main finding is minimally raised creatinine level.It is towards normal upper limit.This is a manageable condition and your father may only need conservative treatment.If he is suffering form hypertension,diabetes mellitus etc then these diseases should be tried to keep in controlled level.
He has been prescribed right medicines.
Syrup urilizer is for renal calculus,nefrosave is a nutritional supplement and defcort-tm is for urinary problem.
He may need close monitoring for creatinine level and he may need follow up.
Get well soon.
Hope I have answered your question.
Further queries are most welcome.
Take Care
Dr.Indu XXXXXXX
Main finding is minimally raised creatinine level.
Detailed Answer:
Hello
I have thoroughly gone through uploaded reports.
Main finding is minimally raised creatinine level.It is towards normal upper limit.This is a manageable condition and your father may only need conservative treatment.If he is suffering form hypertension,diabetes mellitus etc then these diseases should be tried to keep in controlled level.
He has been prescribed right medicines.
Syrup urilizer is for renal calculus,nefrosave is a nutritional supplement and defcort-tm is for urinary problem.
He may need close monitoring for creatinine level and he may need follow up.
Get well soon.
Hope I have answered your question.
Further queries are most welcome.
Take Care
Dr.Indu XXXXXXX
Note: For further queries related to kidney problems and comprehensive renal care, talk to a Nephrologist. Click here to Book a Consultation.
Above answer was peer-reviewed by :
Dr. Chakravarthy Mazumdar
Answered by
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