here are symptoms and clinical findings historically:
10/2003: abdominal pain, Hematuria, urine retention, vaginal bleeding, investigation revealed PUJ stenosis with mild hydronephrosis (systoscopy, IVP, Lt retrograde pyclography C.T.) then Lt Pyoloplasty was done with DJ stent insertion.
severe anemia and hematurea, new investigation revealed nothing about source of intermittent gross hematurea and chronic microscopic hematurea coagulation profile was normal.
12/2003: lt arm pain after migration of canula into vein, X-ray shows forign body.
03/2004: urine retention, general weakness, dyspnea on exertion, tachy cardia, poor appetite.
assessment: tenderness of cystophoresis angle, and painless macroscopic hematurea.
11/2005: epigastric and rt upper hypochondrium pain, vomiting of gastric contents and blood, hematemesis.
assessment: U/S cyst like lesion in rt pelvis, gastroscopy failed due to severe esophageal spasm.
08/2006: cough groung comiting.
04/2007: vertigo, headache, palpitation, hematuria, hemoptysis, dyspnea.
assessment: on C.T. evideence of small left cortical cyst of kidney, evidence of few enlarged baratachial lymph nodes.
03/2009: hgb 3.7 g/dl, blurred vision, general weakness.
severe anemia till now, Hgb reached dangerous level 3.7 g/dl, tests included kidney function test, liver function test, pt, ptt, urine analysis and culture, stool analysis, and many other tests are done with normal findings.
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