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65 Years, Have High BP. Ultrasound Report Shows Bilaterally Increased Grade 1 Renal Cortical Echogenicity. Explain
Hi Doctors,
I want to know is bilaterally increased grade 1 renal cortical echogenicity means ? My mother who is 65 years old and high blood pressure has been diagnosed by this. Her urea is 38 where as the normal range is 1-20, her creatinine is 1.35 whereas the normal range is .50 - .90 , her uric acid is 9.56 whereas normal range is 2.4-5.7 , her ultra sound report says she has bilaterally increased grade 1 renal cortical echogenicity. Please tell me what do all these tests show ? I am not a doctor, please kindly explain to me in a layman/ simple language.
My email is YYYY@YYYY
Thank you
I want to know is bilaterally increased grade 1 renal cortical echogenicity means ? My mother who is 65 years old and high blood pressure has been diagnosed by this. Her urea is 38 where as the normal range is 1-20, her creatinine is 1.35 whereas the normal range is .50 - .90 , her uric acid is 9.56 whereas normal range is 2.4-5.7 , her ultra sound report says she has bilaterally increased grade 1 renal cortical echogenicity. Please tell me what do all these tests show ? I am not a doctor, please kindly explain to me in a layman/ simple language.
My email is YYYY@YYYY
Thank you
Sat, 5 Oct 2013
Hello,
Thanks for the query to H.C.M. Forum.
I would try to explain you in your own and simple language .
Increased renal cortical echogenicity means renal tissues are mildly destroyed ( borderline case or near to chronic renal failure ,if not treated).
Blood urea is 38 ( as you mentioned that normal range is 1-20 , while in standard books the normal range of urea is 20-40 ) .
Serum CREATININE is 1.35 ( normal up to 1 , but in few books it is 1.35 ).
Uric acid level is 9.56 ( normal 2.4 -5.7 ).
Uric acid if high in level it may damage kidney and that may be the reason of renal cortical damage ( echogenicity ) .
Serum creatinine level is very very important if it elevated chances of renal failure increased.
In my opinion plenty of fluid with diuretics will help .
In such type of cases I have treated my patients with diuretics and plenty of fluid orally or intravenous .
Consult a nephrologist and get his opinion.
Gout also develops due to high level of uric acid so take treatment for this also.
Good luck for your mother. Dr. HET
Thanks for the query to H.C.M. Forum.
I would try to explain you in your own and simple language .
Increased renal cortical echogenicity means renal tissues are mildly destroyed ( borderline case or near to chronic renal failure ,if not treated).
Blood urea is 38 ( as you mentioned that normal range is 1-20 , while in standard books the normal range of urea is 20-40 ) .
Serum CREATININE is 1.35 ( normal up to 1 , but in few books it is 1.35 ).
Uric acid level is 9.56 ( normal 2.4 -5.7 ).
Uric acid if high in level it may damage kidney and that may be the reason of renal cortical damage ( echogenicity ) .
Serum creatinine level is very very important if it elevated chances of renal failure increased.
In my opinion plenty of fluid with diuretics will help .
In such type of cases I have treated my patients with diuretics and plenty of fluid orally or intravenous .
Consult a nephrologist and get his opinion.
Gout also develops due to high level of uric acid so take treatment for this also.
Good luck for your mother. Dr. HET
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