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DDx

Discussion in 'Spot Diagnosis' started by J.P.C. Peper, Aug 28, 2012.

  1. J.P.C. Peper

    J.P.C. Peper Bronze Member

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    What's your differential diagnosis, based on this scan?

    I'll post the correct answer in a couple of days!

    DDx.jpg
     

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    J.P.C. Peper, Aug 28, 2012
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  2. J.P.C. Peper

    J.P.C. Peper Bronze Member

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    If anyone has an idea, there's still time.

    I'll post the correct answer in another three days.
     

    J.P.C. Peper, Aug 31, 2012
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  3. bb100

    bb100 Bronze Member

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    acute pyelonephritis
     

    bb100, Aug 31, 2012
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  4. J.P.C. Peper

    J.P.C. Peper Bronze Member

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    Correct answer:

    Renal infarction.

    Most often a result of a clot embolus, which is most often associated with atrial fibrillation (although many patients also have diffuse atherosclerosis). Other, less likely, causes are vasculitis or a ruptured vessel. Because patients present with abdominal or flank pain that mimic other conditions, such as nephrolithiasis and pyelonephritis, the diagnosis is frequently missed or delayed.
     

    J.P.C. Peper, Sep 3, 2012
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