Renal

Question 1

Cannon ball on CXR

Answer 1

renal cell carcinoma mets

Question 2

Loin to groin pain

Answer 2

renal colic

Question 3

Sea anaemonae on cystoscopy

Answer 3

transitional cell carcinoma (bladder)

Question 4

UTI + travel to India

Answer 4

Carbapenemase-producing Klebsiella UTI (resistant to ALL antibiotics)

Question 5

UTI with foul smelling urine and renal calculi

Answer 5

Proteus UTI

Question 6

Beading of the renal artery

Answer 6

fibromuscular dysplasia (associated with Ehlers danlos)

Question 7

RBC dysmorphia/casts in urine

Answer 7

GLOMERULAR bleeding

Question 8

Muddy-brown casts of epithelial cells

Answer 8

acute tubular necrosis

Question 9

“potato” appearance tumour

Answer 9

testicular seminoma

Question 10

“blue dot” sign

Answer 10

torsion of testicular appendix (cremastetic reflex still present)

Question 11

cancer associated with Schistosomiasis/ long term-catheterisation

Answer 11

squamous cell carcinoma

Question 12

Apple-green birefringence on congo-red stain

Answer 12

amyloidosis

Question 13

bence-jones protein

Answer 13

multiple myeloma