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Unilateral Ureteral Obstruction Model for Investigating Kidney Interstitial Fibrosis
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Hibernating kidney - a case report.

Henna Kalsi1, Paul Wennberg, Sanjay Misra

  • 1Division of Cardiovascular Medicine and Department of Radiology, Mayo Clinic, Rochester, Minnesota, USA.

The International Journal of Angiology : Official Publication of the International College of Angiology, Inc
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PubMed
Summary
This summary is machine-generated.

A 75-year-old woman experienced worsening shortness of breath. Physical exam revealed signs of right heart strain and abnormal kidney artery sounds, suggesting potential cardiovascular and renal issues.

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Area of Science:

  • Cardiology
  • Nephrology
  • Internal Medicine

Background:

  • Progressive dyspnea on exertion in elderly patients warrants thorough cardiovascular and renal evaluation.
  • Right heart strain can manifest with specific physical examination findings.

Observation:

  • The patient presented with dyspnea, elevated blood pressure, and jugular venous distention with a prominent V wave.
  • Physical findings included a right ventricular heave, inspiratory systolic murmur, pulsatile liver, ascites, and bilateral renal artery bruits.

Findings:

  • The constellation of symptoms and signs points towards conditions affecting both the heart and kidneys.
  • The prominent V wave and right ventricular heave suggest increased right atrial pressure and ventricular strain.
  • Renal artery bruits indicate potential renal artery stenosis or other vascular abnormalities.

Implications:

  • This case highlights the importance of a comprehensive physical examination in diagnosing complex cardiopulmonary and renal conditions.
  • Prompt investigation is crucial to identify underlying causes and initiate appropriate management to prevent further complications.
  • The findings necessitate further diagnostic workup to elucidate the specific etiology of the patient's presentation.