Brief Answer:
Need tests to determine the cause of kidney function decline

Detailed Answer:
Hello,
Thank you for asking at HCM.
I carefully read your questiona and also checked the attached document and I understand your concern.

The kidney ultrasound can tell us some indirect information on the function they have. Normally the ultrasound can evaluate the structure of the kidneys which means the size and the differentiation of different structures which indirectly can give us some information on the function also.

In you report the both kidneys are a little smaller than the normal vaules (normally kidneys should be 9-12 cm long and one of your kidneys is 7.6 cm long and the other is 8.8 cm long). The loss of medulocortical differentiation is another sign of reduced function in those kidneys.

A direct information on the kidney function is your creatinine levels which in females shouls not exceed 1.0 and you have it 1.4

The fact that you have some blood with urine what i am considering is what we call glomerulonephritis and in your case I would say you are having glomerulonephritis with nephritic syndrome (which means with plenty of red blood cells present in urinalysis).

So all the tests you have had; the ultrasound, the blood values of the creatinine and urinalysis point us to improtant kidney problems that might be categorized in glomerulonephritis. The chronic hypertension is a factor affecting kidney function and aggravating glomerular changes also.

What I would recommend you is to have a consultation with a nephrologist and have the appropriate tests to determine the diagnosis and find the reason why you have those findings. A very usful test would be kidney biopsy which would precisely give the diagnosis and give more information on the expected outcome.

I hope this answers to your question and is helpful to you.
I wish you quick improvements.

Kind regards

Dr Antoneta Zotaj

---