Chaitanya Meghare 13

Urology
Anomalies in the development of the urinary system
and male genital organs

Case 1
A pregnant woman has polycystic kidney disease. Patient age 34 years, second
pregnancy, 10 weeks. The first birth ten years ago, the pregnancy proceeded without
complications. The patient notes periodic aching lower back pain over the past four
years. Level blood creatinine is 0.21 μmol / l, glomerular filtration rate is 55 ml / min.
In urine tests reveal moderate leukocyturia, from 15-20 to 30-40 in the field of view,
the specific gravity of urine is 1008-1014. Blood pressure is normal.
Questions:
1. Formulate a diagnosis?
Ans: The diagnosis can be taking history of the patient, family history, making blood
test, urine test, sonography, ultrasonographic prenatal diagnosis as it is clear from the
question that the given patient is suffering from polycystic kidney disease
2. What haven't the complications of polycystic disease in a patient yet?
Ans: yes, the complications of polycystic disease in the patient can be:
infection such as urinary tract infection as the urine test reveal moderate leukocyturia,
glomerular filtration rate also shows the possibility of having chronic kidney diseases
And periodic aching lower back pain over past 4 years can be associated with UTI
infection or may be kidney stones.
3. Is it possible to allow bearing a pregnancy in this case?
Ans: yes, absolutely it is possible to allow bearing a pregnancy in this given case. As
long as the patient is not having high blood pressure there is no possible complications
over pregnancy. Which means pregnancy is successful in most women with PKD if
they are not at the risk of preeclampsia or high BP.
4. Doctors of what specialties should decide on the possibility of bearing a
pregnancy for this patient?
Ans: The specialist doctors who should decide on the possibility of bearing a
pregnancy for the given patient can be GYNECOLOGIST AND UROLOGIST.
5. What is the patient's life prognosis?
Ans: As its clear that the patent is having normal blood pressure in which her life
prognosis is considered to be good
It may not cause any possible complications of PKD during her length of pregnancy
as long as she doesn't develop high blood pressure.