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What Does My Lab Test Result Indicate?

Posted on Mon, 3 Oct 2016

Question: My mother age 67 having knee and join pain for last one year. After undergoing recent abdomen scan it found that have some issue in kidneys. The reports says as below :
RT : Kidney measures 8.0 x 3.1 cms
LT: Kidney measures 6.6 x 2.4 cms
Both kidneys small and more dense with mild loss of cortico medullary differentiation.

Can you please advise if the kidneys are functioning well ? or any issues. Please advise.

her age : 67, weight 40 (in the last one month she has loss 5 KGs)

Thanks in advance.

Answered by Dr. Dr. Prasad J (4 hours later)

Brief Answer:
Get her kidney function tested...

Detailed Answer:
Hi,

At the outset, her knee and joint pain doesn't seem related to scan findings. Knee and joint pain are perhaps related to age related degenerative athritic condition. This can be evaluated further by an orthopedic surgeon / rheumatologist.

Ultrasound scan which revealed mild loss of corticomedullary differentiation as well as small kidney are non specific finding. It doesn't reflect kidney function. However in this context, it is advisable to get kidney function test - serum creatinine as well as blood urea nitrogen level. Kidney function blood test will help us learn about kidney functioning.

Hope this answers your question. Let me know if you have any questions.

Regards

Above answer was peer-reviewed by : Dr. Chakravarthy Mazumdar

Follow up: Dr. Dr. Prasad J (12 hours later)

Doctor,
I forgot to mention the blood test result, here it is

HB : 8.0M
Creatine : 1.7 mg
Uria : 51 mgdl

Blood Pressure : 140/80

What I wanted to clarified that the medicine prescribed by the doctor (General physician) is okay and can we continue or we need to consult any Kidney specialist ?.

The below medicine she is taking currently
1) Livogen z
2) Aciloc 150 mg
3) Zyloric 100
4) Pandacin dsr
5) Blumex plea

Thanks in advance

Answered by Dr. Dr. Prasad J (7 hours later)

Brief Answer:
It would be worthwhile to consult a nephrologist...

Detailed Answer:
Your creatinine level is at borderline high; but not very concerning. However you also have a low hemoglobin value along with ultrasound features. Therefore you should be followed up and renal functions monitored. It would be worthwhile visiting a nephrologist / kidney specialist once.

Hope this helped.

Regards

Note: For further queries related to kidney problems and comprehensive renal care, talk to a Nephrologist. Click here to Book a Consultation.

Above answer was peer-reviewed by : Dr. Vaishalee Punj