An elderly with gross hematuria develops aphasia and right hemiplegia, followed shortly by coma and death after 2 days in the hospital. What is the most likely cause of the hematuria?
1. Metastatic cancer
2. Renal infarct
3. Renal cell carcinoma
4. Renal abscess
5. PKD
6. Papillary necrosis
i thinkits 3cuz hematuria is the most frequent presenting abnormality.correct me if i am wrong.
I would go with 2.Renal infarct
dramatic development suggests cancer.3?
I support pda. 2 is more likely.
2. aphasia and right hemiplegia are due to infarction. This might due to embolism, kidney is suffered too.
Option 3 seems to be good but your reason for 2 is convincing. It is hard to choose which one if we do not see the real picture. This Sunday, I will work on a website to allow us to upload image for discusssion. Hopefully, it will function on Monday.
Answer could be 3.
I would go with renal cell carcinoma, the CNS problems come after the hematuria and it is possible to have a renal cell met to the brain causing his cns symptoms...it is a tricky one