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Dr. Andrew Rynne
MD
Dr. Andrew Rynne

Family Physician

Exp 50 years

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Has CAPD. No Swelling. Urine Output Is Good, But Kidney Sizes Are Small. Shows Increated Echotexture. Kidney Failure?

Hi Doctor
Can you pleasse help with below query for Kidney? My son is on CAPD and his creation is at 8. I don't see him as sick and he is perfect and no swelling. Not sure whteher he has kidney failure or not becuase his urine outpout is good but Kidney sizes are small in size as per abdonamal scan report
Right kidney 7.2 & Left kidney is 7.0 cm
Parenchymal Thickness is 1.2 and 1.3 ( a month ago, it was 0.8 & 0.9)
Breadth 2.9 cm & 2.4 cM
Both kidneys are slightly reduced in size and showes increated echotexture.
Cortico-medullary diffrentiations are well made out.
No evidence of calculus or hydroneprosis.

Can you please help to undesstand this case better?

it is for my son 11 years old.

Jampani

Tue, 5 Nov 2013
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Nephrologist 's  Response
Hi
Thanks for your query.
If your son has a serum creatinine of 8 then he has kidney failure. He needs to continue regular CAPD.
What is the cause of renal failure and Can this condition be reversed? We need more information about the patient including his lab reports to comment on that.
If it is irreversible then we should start planning for a kidney transplant.
Hope this helps
Good luck
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Has CAPD. No Swelling. Urine Output Is Good, But Kidney Sizes Are Small. Shows Increated Echotexture. Kidney Failure?

Hi Thanks for your query. If your son has a serum creatinine of 8 then he has kidney failure. He needs to continue regular CAPD. What is the cause of renal failure and Can this condition be reversed? We need more information about the patient including his lab reports to comment on that. If it is irreversible then we should start planning for a kidney transplant. Hope this helps Good luck