Kidney Disease

Batch '64 Steth Logo copy


 A nephrology opinion needed, Received  this mail from a reliable friend

Renal problems, not a bad thing to avoid 
Our batch must have a Nephrology dude
Can we check validity via ‘batch grape wine’
KIDNEY DISEASE plus other health advice
A Ghanaian Medical Officer in the USA has sent this through to help each and everyone. Please read and take care of yourself. Dr. Okyere.
The rate at which  young people are suffering from Kidney disease is alarming. I am sharing a post which can help us. 
Please read below: 
Barely two (2) days ago, we all received the news of the demise of the Nigerian actor as a result of kidney disease.
ALSO OUR MINISTER OF PUBLIC WORKS, the Honorable Teko Lake is currently in the Hospital on life support with Kidney problems. I want to show you how to avert this menace of kidney disease.
1. Delaying going to a toilet. Keeping your urine in your bladder for too long is a bad idea. A full bladder can cause bladder damage. The urine that stays in the bladder multiplies bacteria quickly. Once the urine re-fluxes back to the ureter and kidneys, the toxic substances can result in kidney infections, then urinary tract infections, and then nephritis, and even uraemia. When nature calls – do it as soon as possible.
2. Eating too much salt. You should eat no more than 5.8 grams of salt daily.
3. Eating too much meat. Too much protein in your diet is harmful for your kidneys. Protein digestion produces ammonia – a toxin that is very destructive to your kidneys. More meat equals more kidney damage.
4. Drinking too much caffeine. Caffeine is a component of many sodas and soft drinks. It raises your blood pressure and your kidneys start suffering. So you should cut down the amount of coke you drink daily.
5. Not drinking water. Our kidneys should be hydrated properly to perform their functions well. If we don’t drink enough, the toxins can start accumulating in the blood, as there isn’t enough fluid to drain them through the kidneys. Drink more than 10 glasses of water daily. There is an easy way to check if you are drinking
enough water: look at the colour of your urine; the lighter the colour, the better.
6. Late treatment . Treat all your health problems properly and have your health checked regularly. Let’s help ourselves..
7. Avoid these Tablets, they are very dangerous:
* D-cold
* Vicks Action-500
* Actified
* Coldarin
* Cosome
* Nice
* Nimulid
* Cetrizet-D
They contain Phenyl Propanol-Amide PPA. Which causes Strokes & Are banned in USA.
Please, before deleting, HELP your friends by passing it..! It might help someone. Fwd to as many as u can. 
Doctors in the United States have found new cancer in human beings, caused by Silver Nitro Oxide. 
Whenever you buy recharge cards, don’t scratch with your nails, as it contains Silver Nitro Oxide coating and can cause skin cancer. 
Share this message with your loved ones. 
Important Health Tips:
1. Answer phone calls with the left ear.
2. Don’t take your medicine with cold water….
3. Don’t eat heavy meals after 5pm.
4. Drink more water in the morning, less at night.
5. Best sleeping time is from 10pm to 4 am.
6. Don’t lie down immediately after taking medicine or meals.
7. When phone’s battery is low to last bar, don’t answer the phone, because the radiation is 1000 times stronger.
Kindness costs nothing But Knowledge is power.

Medical Imaging Quiz


People including doctors always wonder which Medical Imaging is best to confirm or exclude the Medical condition in their mind. I am presenting an imaging technique known to all of you. ( an easy & straight forward short case – mainly for your info/discussion) This patient was referred to me 2 weeks ago. Male, 40+ years old.
1) What is this examination called?
2)Is it normal or can you see any abnormalities?
3) Would you like to do any other tests/examinations?
4) Name the symptoms the patient would have presented with? >


A Quiz to refresh your clinical knowledge?



woman presented with a chief complaint of pain in her left forearm (fractured radius). She had recently arrived in Missouri from Honduras via Texas. She stated that she had fallen and injured her arm when she was fleeing border agents. A routine review of systems revealed a history of fever with shaking chills. In addition to a swollen, tender forearm, she had a temperature of 39.2°C, pallor, and splenomegaly.

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Interesting Medical Quiz -Seelan




“37 years old female, had a normal delivery 4 months ago. During pregnancy had right sided mild hydro-nephrosis which resolved after child birth. No past history of abdominal/pelvic surgery. Now presented with right iliac fossa pain for 2 days. RIF was tender but no definite palpable lump. Blood tests normal esp WBC/ESR. Her G.P.  thought of Renal stone & asked for Ultrasound. When I did the U.S, the kidneys were normal but there was a vascular & tender lesion in the RIF. After discussing with the G.P, I did a 3 phase CT scan.

Following are some relevant images:
1)Doppler US of RIF
2)Axial, Coronal & Sagittal CT images of Abdo/Pelvis.

Can you identify the pelvic organs & the pathology ? ”



Posted 2/22/18

Its unfair to wait too long.
US showed vascular mass of 4x5cm diameter in the RIF. All the blood
path including the pregnancy test were normal.
CT showed part of the appendix & terminal ileum. They were normal.
Uterus is shifted to the right towards the RIF & appears slightly
twisted. There is a cauliflower shaped mass( as identified by Eddie)
on the right side of the uterus which is more anterior owing the
“twist” & is vascular. It is the swollen right ovary which showed
patchy density. On the left side of this, there is a cyst (6-7cm
diameter). In between the ovary & the cyst, a little fluid is seen in
the CT. The cyst is arising from the right ovary. This indicates that
the right ovary is a complicated ovary.
Because the uterus & right ovary appeared twisted & the swollen ovary
is vascular, I thought that it may be “Acute torsion of  inflamed
dermoid cyst”.(About 50% of torsion occurs in ovaries with some lesion
& 50% of this are due to Dermoid cysts).
The posterior lesion noted by Eddie is a partly calcified Fibroid of
abt 7-8 cm diameter.
Patient underwent emergency surgery & the Gynecologist thought that it
is  “Torsion of right ovarian Tumor”- “Borderline tumor”
The Path report:- Sero-mucinous tumor of ovary.
I have provided an annotated(CT) answer with numbers. Please zoom to
read the letters.
1=Ovarian mass
2=Right Ov Cyst
5= Bladder
Thanks for participating. Even if you(some) have retired, don’t waste
the medical knowledge you gathered so far in your life.