Tuyển tập báo cáo các nghiên cứu khoa học quốc tế ngành y học dành cho các bạn tham khảo đề tài: Atypical presentation of renal cell carcinoma: a case report. | Journal of Medical Case Reports BioMed Central Case report Open Access Atypical presentation of renal cell carcinoma a case report Deepak Doshi 1 Michael Saab2 and Nidhi Singh3 Address Emergency Medicine Central Manchester and Manchester Children s University Hospitals Oxford Road Manchester M13 9WL UK 2Emergency Medicine Fairfield General Hospital Rochdale Old Road Bury BL9 7TD UK and 3General Medicine University Hospitals Birmingham Raddlebarn Road Birmingham B29 6JD UK Email Deepak Doshi - drdeepdoshi@ Michael Saab - Nidhi Singh - drnids@ Corresponding author Published 6 June 2007 Received 12 February 2007 Journal of Medical Case Reports 2007 1 26 doi 1752-1947-1-26 Accepted 6 June 2007 This article is available from http content l l 26 2007 Doshi et al licensee BioMed Central Ltd. This is an Open Access article distributed under the terms of the Creative Commons Attribution License http licenses by which permits unrestricted use distribution and reproduction in any medium provided the original work is properly cited. Abstract A case of Renal Cell Carcinoma RCC presenting to the Emergency Department with pyrexia and rigors is discussed. Case presentation A 61 year old female patient presented to the Emergency Department with feeling unwell pyrexia nausea and headache. She gave a history of fever for the past three weeks with three episodes of rigors. She also gave a history of recent loss of appetite and some weight loss. She had no urinary problems. On examination she looked pale. A mass was palpable in the right lower quadrant and lumbar region. Liver and spleen were not palpable. There were no signs of peritonitis. Her pulse rate was 125 minute BP 120 85 and temp degree Centigrade. She had blood tests in the Emergency Department which revealed the following Hb g dL WCC X 10 9 litre and Platelets 237 X 10 9 litre. Electrolytes and urea
