Mrs SM (49 years old) came for the treatment of the right sided renal cyst since August 2006.
She was also suffering from asthma since 21years.She was on bronchodilators and steroids on and off since 21 years without much relief.
She complained of right tennis elbow,ganglion on left wrist and tinnitus of right ear associated with vertigo.
She is a very nervous,timid,irresolute lady who lost her husband at age of 28 years.
INVESTIGATIONS
| DATE | INVESTIGATION DONE | RESULT |
| 24-08-06 | USG of abdomen and pelvis | Multiple cysts at right kidney.Right kidney 2cm and large parapelvic cyst-5.8 x 5.2cms. |
| 2-9-06 | Renogram and renal can | Right kidney shows reduced perfusion,residual cortical function and is obstructive in nature.The level of obstruction appears at the pelvi uretric junction. |
| 13-12-08 | Renal scan | The multicystic right kidney shows a residual function of 37.62%.There is mechanical obstruction at the mid calyx/cyst level. |
| 13-1-09 | FBS | 69mg% |
| 13-1-09 | Blood urea nitrogen | 9.0mg% |
| 13-1-09 | Serum creatine | 0.6mg% |
| 13-1-09 | Serum uric acid | 4.5mg% |
| 7-9-11 | USG of abdomen and pelvis | Right kidney appears malrotated with pelviureteric junction obstruction |
FOLLOW UP
| DATE | COMPLAINTS |
| 01-03-10 | Bronchitis. Pain in right elbow, painful ganglion on left wrist. Renal cyst. Vertigo with tinnitus. |
| 05-05-10 | Bronchitis better. Vertigo decreased. Pain in right elbow and ganglion is same. Renal cyst is seen on sonography. |
| 18-10-10 | Breathlessness, Vertigo much better. Ganglion decreased in size. |
| 15-03-11 | Ganglion reduced. No breathlessness. |
| 10-09-11 | Breathlessness no attack since last six months. No renal cyst on USG. |
