96. A 35yo man presented with hematuria, abdominal swelling and has a BP of 190/140. What is the most diagnostic inv?

  1. A 35yo man presented with hematuria, abdominal swelling and has a BP of 190/140. What is the
    most diagnostic inv?
    a. Cystoscopy
    b. USG
    c. CT
    d. Renal biopsy
    e. Urine analysis

Q. 1. What is the key?
Q. 2. What is the diagnosis?
Q. 3. What will be the USG findings to establish diagnosis in given case?

Ans. 1. The key is B. USG.
Ans. 2. The diagnosis is ADPKD.
Ans. 3. In given case patients age is 35. So the USG diagnostic criteria is: Age 18 – 39 yrs>3 unilateral or,
bilateral cysts, 40 – 59 yrs >2 cysts in each kidney, >60 yrs >4 cysts in each kidney. [OHCM, 9th edition,
page- 312].