My previously healthy 82yo grandfather was admitted to the emergency dept 3 days ago with acute renal failure. Prior to this he had been unwell for approx 5 weeks with what his GP said was a virus. With wkly checkups by his GP he has not improved. GP prescribed fluid tabs to relieve fluid build up. A few times last week he had lost total control of bowels and urine. By Saturday just gone he was a mess so we called ambulance. O/E he had a tender mass in abdo. An ultrasound showed enlarged bladder which was full and a lesion on kidney pole. At this stage we have not spoken to anyone form the renal team.
I would like to know what exactly we should be asking of the renal team once we speak to them. I would appreciate any suggestions of questions.Of course i have my own questions but from a medical point of view what should i be asking?
Acute renal failure can be renal, pre-renal or post renal. What is the nature of this mass in the kidney. Is it solid, is it a neoplasm, cyst etc. was there any dilatation of the kidney system. what is his creatinine, his urine output, his electrolytes. Is he on or going to require dialysis.
In my opinion there are two problems- 1. the renal failure and 2. the kidney lesion.
Renal failure may be due to reversible/ irreversible causes. If any reversible causes are identified they need to be corrected. Many factors are to be taken into account while treating the renal lesion: eg the nature (cyst tumor etc), patients general condition etc.
The Content on this Site is presented in a summary fashion, and is intended to be used for educational and entertainment purposes only. It is not intended to be and should not be interpreted as medical advice or a diagnosis of any health or fitness problem, condition or disease; or a recommendation for a specific test, doctor, care provider, procedure, treatment plan, product, or course of action. MedHelp is not a medical or healthcare provider and your use of this Site does not create a doctor / patient relationship. We disclaim all responsibility for the professional qualifications and licensing of, and services provided by, any physician or other health providers posting on or otherwise referred to on this Site and/or any Third Party Site. Never disregard the medical advice of your physician or health professional, or delay in seeking such advice, because of something you read on this Site. We offer this Site AS IS and without any warranties. By using this Site you agree to the following Terms and Conditions. If you think you may have a medical emergency, call your physician or 911 immediately.