Wednesday, 8 September 2010

MRCP revision battle 5.2: Renal vein thrombosis

Renal vein thrombosis can occur due to:
  • nephrotic syndrome inducing a hypercoagulable state
  • invasion of the renal vein by renal cell carcinoma
  • thombophillia

It is often asymptomatic, but equally may present with haematuria, loin pain, palpable mass or a sudden worsening of renal function.

Treatment is with warfarin, anticoagulated to INR 2-3 for 3-6 months.

 Follow me to battle 5.3....