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Hypertensive after pregnancy, went into renal failure. Ultrasound shows bilateral small size kidneys. Help?

pt is 28yrs old female, hypertensive since last 4 yrs(after her first pregnency),went in renal failure( creatinine was 11mg/dl 0and pulmonary edoema,5 month back, since then she is on dialysis twice a week, her creatinine used to stay at 7mg/dl before dialysis andbetween 3 to 4 mg/dl post dialysis, her utrasuond shows bilateral small sizes kidneys, Rt 7.3 cm and left 7.4cm. plz advice measures to reduce creatinine level
Asked On : Fri, 17 Aug 2012
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Cardiologist 's  Response
Dear patient,

According to her numbers, she is at Stage 4 or 5 renal disease, meaning very advanced; if her creatinine has been elevated like that for years, it is likely that the kidneys will ultimately fail, and given her young age, the 2 options would then be dialysis or kidney transplant, hopefully the latter.

Truly yours,

Dr Brenes-Salazar MD
Mayo Clinic MN
Answered: Thu, 27 Jun 2013
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