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By Reena Popat

The only cease document books were designed through clinical scholars for clinical scholars to consolidate wisdom, topic via topic and procedure via approach. for every quarter studied there are just such a lot of questions an examiner can ask; they're awarded the following with transparent causes that permit the coed to revise completely one subject at a time.While doing so, the coed may also perform their examination method. every one e-book comprises MCQs, EMQs, and SAQs and Problem-based Questions- precisely the form of questions they'll get of their exams.Illustrated with basic, easy-to-reproduce line drawings, clinical scholars have during this one quantity all that they wish for examination good fortune.

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B. c. d. e. Renal oncocytoma Renal adenocarcinoma Renal metanephric adenoma Transitional cell carcinoma Nephroblastoma 43. Regarding nephroblastoma a. b. c. d. e. It is also known as Wilms’ tumour It classically occurs in young children Nephroblastomas are purely epithelial in component It is bilateral in 20 per cent of cases It may present with failure to thrive 44. A 60-year-old male is referred to urology clinic as his GP is concerned that he may have symptoms suggestive of renal cancer a. List the common presenting symptoms of renal cell carcinoma b.

Manifestations include a purpuric rash on the ankles, dorsum of the legs and buttocks, colicky abdominal pain, fleeting polyarthritis of large joints and microscopic haematuria. • Rapidly progressive glomerulonephritis (crescentic) is characterized by the presence of crescents (epithelial cell proliferation and monocyte accumulation in Bowman’s space), which is usually associated with severe renal injury. g. sinusitis, nasal bridge collapse, haemoptysis • Churg–Strauss syndrome (p-ANCA positive) – associated with asthma and eosinophilia • microscopic polyarteritis (p-ANCA positive) – similar to the two above but no granulomatous lesions.

Pseudomyxoma peritonei Right-sided heart failure Ectopic pregnancy Secondary to metastatic deposits Budd–Chiari syndrome 1. A 30-year-old woman who has recently started on the oral contraceptive pill develops right upper quadrant pain and a distended abdomen. On examination she has hepatomegaly and shifting dullness on percussion, with a fluid thrill 2. A 64-year-old man presents with longstanding fatigue and shortness of breath. On examination he has a small volume pulse, raised jugular venous pressure and soft heart sounds.

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