Resolved question:
Constant high blood pressure and high CREATININE level
CREATININE Level
14th feb 2015 - 4.85mg/dl
17th feb 2015 - 7.39 mg/dl
19th feb 2015 -6.95 mg/dl
20th feb 2015 -7.33 mg/dl
Blood pressure
14th feb - 200/110
15th feb- 179/120
16th feb - 184/122
17th feb -170/110
19th feb- 200/120
20th feb - 130/110
21st feb- 169/118
refer attached relevant tests and their result.
1) Kidney Function tests
2) Chest-x Ray
3) USG KUB
4) CT KUB -PLAIN
5) URINE R/E,ROUTINE
6) HAEMATOLOGY
Please let me know what should be the ideal treatment for kidney condition.
Thanks Regards
Bushra
Submitted:
4 Days
Category:
Nephrologist
Hello,
Thank you for your consult. I am one of the in-house physicians at DoctorSpring.com.
Please review the doctor's reply :
He has significant kidney damage and requires admission in the hospital for evaluation. He still has kidney size of more than 9 cm each and kidney biopsy should be fine if not done earlier. Giving a clinical decision is not based on few reports alone and any such opinion is not complete and should be avoided . You need to give the complaints, duration of problems , other medical problems and treatment received till date
Feel free to discuss further,
Regards.
Thank you for prompt reply.
Please refer attached document for patient history and treatment received from hospital.
He was hospitalized and discharged yesterday as doctor is waiting for biopsy report.
Looking forward for your advice on treatment option for current scenario.
Thanks
Regards
Bushra
Yes. As the kidney biopsy is already done, we can discuss further once we get the kidney biopsy report
Kindly get back to me with the biopsy report.
Regards.
Hi Doctror,
RPRF
Aceduated HTN
KIDNEY BIOPSY OVER PHONE BY DOCTOR:
- TMA,HTN Vascular changes
Final biopsy reportcstill awaited
Thanks
Regards
Bushra
Hello,
Kindly wait for the whole report.
Once I see I can guide you better.
It will provide information on the size of kidneys, and a lot of other vital information.
So once you have it, I will get back to you.
Regards.
Hi Doctor ,
Kidney size is already mentioned in CT Scan report which i sent via mail earlier.
Kidney size as per CT Scan
Right Kidney Measures 9.4x4.3 cm
Left Kidney Measures 9.8x4.6 cm
Please refer attached CREATININE AND Other results Analysis.
Doctor recommended immedate dialysis as CREATININE reached to 8.5.
I will surely forward you kidney biopsy report as soon as i get it.Doctor got report on phone and he said Biopsy confirmed that Renal failure was due to high bloop pressure.
Please suggest as Dialysis is to be done tomorrow.
Thanks
Bushra
Hi
When the creatinine is 8.5 mg/dl , irrespective of the reason for kidney failure, you require to prepare for the dialysis. There will be several reasons for the same report of Bp leading to kidney failure. You can still ask for the detailed report. The earlier the dialysis the better for the body at this time
Regards