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Dr. Andrew Rynne
MD
Dr. Andrew Rynne

Family Physician

Exp 50 years

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Grade 1 Medical Renal Disease. Treatment?

Kidney : Increased cortical echogenicity in right kidney . Renal cortical echoes and Cortico medullary differentiation is maintained on left side.

Bladder :- Intra luminal echoes are seen with mild bladder thickening - 3 mm.

RIF & LIF :- Small bowel loops appear fluid filled with a maximum diameter of - 2 cm, and shows normal peristalsis. No free or loculated fluid seen in abdomen.

Impression :- Increased right renal cortical echogenicity - Suggestive of Grade I medical renal disease.
Tue, 24 Sep 2013
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Pediatrician,  's  Response
Thanks for posting on HCM. There are some important issues that have not been mentioned in the query. First of all, the age and sex of the child, then the symptoms because of which ultrasound was done. Thirdly, is the child hypertensive. Fourthly, the details of urine examination.
Frankly, you have to understand that there is a cause behind this medical renal disease. It is of a mild degree right now, but if the basic cause of the same is not addressed immediately, the problem may worsen. The important causes (even if we rule out congenital malformations of kidney as the ultrasound did not detect them) of kidney disease are glomerulonephritis, interstitial nephritis, primary hypertension, posterior urethral valve (more common in boys), nephrotic syndrome, diabetes in children etc. NOW HOW TO APPROACH :
1. Evaluate the child for the possible causes of medical renal disease
2. Treat the basic cause
3. Monitoring and treatment of complications of renal disaese: hypertension, osteopenia, oliguria, renal failure.
I hope to hear from you soon.
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Grade 1 Medical Renal Disease. Treatment?

Thanks for posting on HCM. There are some important issues that have not been mentioned in the query. First of all, the age and sex of the child, then the symptoms because of which ultrasound was done. Thirdly, is the child hypertensive. Fourthly, the details of urine examination. Frankly, you have to understand that there is a cause behind this medical renal disease. It is of a mild degree right now, but if the basic cause of the same is not addressed immediately, the problem may worsen. The important causes (even if we rule out congenital malformations of kidney as the ultrasound did not detect them) of kidney disease are glomerulonephritis, interstitial nephritis, primary hypertension, posterior urethral valve (more common in boys), nephrotic syndrome, diabetes in children etc. NOW HOW TO APPROACH : 1. Evaluate the child for the possible causes of medical renal disease 2. Treat the basic cause 3. Monitoring and treatment of complications of renal disaese: hypertension, osteopenia, oliguria, renal failure. I hope to hear from you soon.