Your Name:Caroline Sinclair

Theme: Renal Disease

OPTION LIST

A	SLE	I	Cannonball metastases
B	Goodpastures	J	Polycystic kidney disease
C	Wegeners granulmatosis	K	Henoch-Schonlein purpura
D	Accute diffuse proliferative glomerulonephritis	L	Alport’s disease
E	Diabetic nephropathy	M	Bacterial endocarditis
F	Hypertensive renal damage	N
G	Wilms tumour	O
H	Clear cell renal carcinoma	P

For each scenario below, choose the most appropriate answer from the list above. Each option may be used once, more than once or not at all.

1. An 11 year old boy is taken to the GP by his parents after complaining that “his wee-wee is a funny colour”. The parents reveal that their son hasn’t been too well lately, “He’s been very tired, feeling sick and has had temperature the last few days. We thought he’s just picked up a virus because he had a sore throat about 10days ago, but now that his urine has gone this smoky colour and his eyes are puffy, we thought we’d bring him in…”

2. A gentleman who presented with haemoptysis and haematuria. Histology shows the accumulation of macrophages in Bowmans capsule. Immunology reveals the patient is HLA-DR2, and possesses Anti-glomerualr basement membrane antibody.

3. A 50 year old male with a persistant runny nose and sinusitis that is worsening. Immunology reveals circulating auto-antibodies against neutrophil cytoplasmic antigents (C-ANCA). Histology also shows the accumulation of macrophages in Bowmans capsule.

4. A 63 year old Scandanavian male presents with painless haematuria, fatigue, weight loss and fever. On examination a mass is found unilaterally in the loin. Family History reveals his father had Von Hippel-Lindau disease.

5. A 70year old man being investigated for haematuria and loin discomfort develops dyspnoea.

ANSWERS

1. D

2. B

3. C

4. H

5. I