Dr. Ali, Thank You for your prompt concern about my question; the patient being treated for hypertension which is fully under control, using ACE (vasotec) but recently changed to Cardura because of "three bouts" of angiodema.
Urea is within normal parameters, and creatinine (recently tested) was 1.19 also within normal limits, although showing a steady slight increase.
Please tell me after taking the Ultrasound test indicating Echogenic Kidneys what should the NEXT STEP/TESTS that should be done; and can you suggest an "expert" kidney doctor in the New York (Manhatten)/ New Jersey area. JAMES
Dr. Ali, I'm confused as to what "I need to do " concerning you answering my question.
Am I to wait for your reply 'later' or other doctors/doctors will take the questions I sent you and give me their opinions/reply. PLEASE LET ME KNOW....Thanks
I will try to help you with your queries.
As per the information you provided, it seems the patient's kidneys are functioning well.
Echogenic kidneys usually refer to the diffuse kidney disease.
Due to this finding,
you will need to see a kidney specialist ( nephrologist) for further evaluation.
There are lots of excellent kidney doctors in the Manhattan area.
I will suggest you try to contact Columbia Presbyterian Hospital for a consultation with their nephrology department.
This is the link:
Dear Mystic Doc, It is now Tuesday, March 30, 10:48 AM, and I just retrieved your answer to me.
I also appreciate your suggestion contacting "Nephrology, New York Presbyterian?Weill Cornell" for further evaluation and plan doing.
But one question I have: you say "echogenic kidneys usually refer to the DIFFUSE KIDNEY DISEASE"; please explain, ie, what , for example, could be the specific medical renal disease, because a report came back with the comment: "imaging of the kidneys demonstrates the kidneys to be SOMEWHAT COURSE IN THEIR ECHOGENICITY"...I await your comments?answer...ThankYou
Thanks for your reply.
Coarse echogenicity usually refers to the possible damage to the glomerulonephrotic degeneration. Glomeruli & nephrons are the functioning units of the kidneys.
This can be due to the autoimmune diseases, diabetes, or hypertension.
More investigation is required for better characterization of the ultrasound findings.