A 42-year old woman presents for an evaluation of back pain….

Written by Anonymous on September 5, 2024 in Uncategorized with no comments.

Questions

A 42-yeаr оld wоmаn presents fоr аn evaluation of back pain. She states that she has a history of recurrent UTI’s and that on occasion, she has noted that her urine appears red. Upon physical examination, she demonstrates CVA tenderness and a palpable abdominal mass. Her vital signs include blood pressure of 145/90 mmHg, RR 16 breaths/min, and a HR of 72 bpm. You order a UA that reveals: leukocyte esterase 1+, protein trace, and blood 3+. The microscopic examination reveals 5-10 WBCs/hpf and 20-30 RBCs/hpf. An abdominal US demonstrates multiple, bilateral fluid collections within the kidneys. What is the most likely diagnosis?

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