pcn access for #Lithotripsy #Renal #Stones | Figure 1

pcn access for #Lithotripsy #Renal #Stones

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4cm renal tumor around hilium, it can be done partial without robot?](https://app.figure1.com/case-detail/0c538cc1-a605-48ae-835b-0143ab01be0e)

The largest kidney stone I have ever seen.](https://app.figure1.com/case-detail/122a6cf7-cdd5-4346-bfbf-9a1e05878931)

synchronic renal carcinoma](https://app.figure1.com/case-detail/19db42e3-0dda-47bc-b8aa-1ecd00b991f2)

What is the diagnosis? Follow us and come back next week for the answer! | Presented by Sanhong Yu MD, Ph.D, under the supervision of Qiusheng Si MD, Ph.D, while on the Genitourinary rotation. | Age: 61 years | Sex: Male | Site: Left and right kidneys. | Procedure: Robotic-assisted laparoscopic radical nephrectomy. | Clinical history: A 61-year-old male presented for renal masses and gross hematuria while on dialysis. Patient has a history of ESRD status post right kidney transplant that failed two years later. CT noted cystic kidneys with multiple enhancing renal masses. Patient underwent left and right robotic-assisted laparoscopic radical nephrectomy. | Radiographic description: Both kidneys have innumerable cysts, several of which are enhancing, ranging from 1.9 to 4.7 cm. | Gross description: The tumor is composed of multiple cysts and well-circumscribed fleshy yellow tan solid masses with gelatinous material. | Ancillary tests: CK7 and CA9 positive; CD10, AMARCA, CD117, and GATA-3 negative.](https://app.figure1.com/case-detail/28e52b11-dae7-47e3-8e5b-87a8a5c1505f)

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A 52-year-old man presented with a 20-minute history of chest pain radiating to the left shoulder and neck, associated with dyspnea and diaphoresis. He had a history of hypertension, long-term smoking, and a sedentary lifestyle. On physical examination, bibasilar crackles were noted on lung auscultation. An electrocardiogram (ECG) was performed in the primary care setting, and the patient was promptly referred to the emergency department.](https://app.figure1.com/case-detail/ae0fe999-6875-4474-94f0-ad823dbb9b3a)

A 28-year-old woman presented with a 3-day history of intense pruritus over the lower back. She reported no recent travel or exposure to new environments. She cares for a small kennel with approximately eight dogs rescued from the streets. Physical examination revealed multiple small vesicles, some clustered and others scattered, predominantly involving the lumbar region and the left gluteal area.](https://app.figure1.com/case-detail/c271070f-2bc7-4052-9895-635277e1a7d5)

A 4-month-old male infant presented with skin lesions localized to the chin for the past 3 days. Physical examination revealed multiple small pustules with surrounding inflammatory signs on the chin, along with a few scattered papules on the chest.](https://app.figure1.com/case-detail/48f41642-b9db-4089-b120-a94ee52328de)

patient in late teens presenting after a collapse, no chest pain, no previous cardiac history, no history of sudden death in family, are there any features in this ekg that would warrant further work-up or is this just a pediatric ekg?](https://app.figure1.com/case-detail/2af390e1-ace8-40ed-ba1c-98fb2d72f4c5)