Oedema Case Study Essay

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Title:
A comparative evaluation of the specialist modalities that may be required to confirm a diagnosis of and treatment for suspected metastatic renal cell carcinoma.
Aim
Mrs X has just been admitted from Accidents and Emergency to the Urology Clinic or Renal Department and she has presented with the following clinical indications: macroscopic haematuria, bilateral leg oedema and iron deficient anaemia. The aim of this case study is to describe the pathway of the patient from diagnosis to treatment and follow up by evaluating imaging modalities that could be used during this pathway.
Mrs X came to the hospital probably after her swollen legs, lower back pain or haematuria had worsened. The medical team that examined her will include doctors …show more content…
Clinical guidelines by the European Society For Medical Oncology, 2014 and the European Association of Urology, 2010 recommend this imaging pathway.
For the ultrasound scan (which could be an abdominal scan), the patient will see a sonographer who will check Mrs X’s details and explain the procedure to her and attain consent as well. Prior to the scan, she may be asked to drink some water to fill her bladder as a full bladder helps to lift the large bowel out of the pelvis so the pelvic organs can be viewed. She will then be asked to lay down on the imaging couch in a supine position. The sonographer then selects the scan on the Ultrasound scanner, selects a low frequency transducer about 4 MHz and places the transducer on Mrs X’s abdomen layered with ultrasound transmission gel. The kidneys are scanned longitudinally and transversely through the liver and posteriorly the right loin. During the scan, some images will be displayed on the screen. Features of the image could include a focal bulge in the renal contour or a lobulated mass, generalised enlargement of the affected part of the kidney and a non-uniform signal from the tumour (Jackson et al

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