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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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  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.
     

  3. bb100

    bb100 Bronze Member

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    acute pyelonephritis
     

  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.
     

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