11-24-2007, 02:15 PM
A 49-year-old woman is admitted to the hospital
because of renal
failure. She has had episodes of flank pain over the
past 20 years.
She has also had nocturia 2 to 3 times nightly for 10
years. Her blood
pressure is 160/100 mm Hg. Examination shows pale
mucous membranes. A
mass is palpated in the right flank. Which of the
following is the
most likely diagnosis?
A
) Horseshoe kidney
B
) Nephrolithiasis
C
) Papillary necrosis
D
) Polycystic kidney disease
E
) Renal cell carcinoma
because of renal
failure. She has had episodes of flank pain over the
past 20 years.
She has also had nocturia 2 to 3 times nightly for 10
years. Her blood
pressure is 160/100 mm Hg. Examination shows pale
mucous membranes. A
mass is palpated in the right flank. Which of the
following is the
most likely diagnosis?
A
) Horseshoe kidney
B
) Nephrolithiasis
C
) Papillary necrosis
D
) Polycystic kidney disease
E
) Renal cell carcinoma