Patient with RA stenosis presents with:
A.Hypertension when it affects single kidney and as Renal failure when it affects bilateral kidneys. It is often a part of Atherosclerotic vascular disease.
B. Deterioration of Renal function on ACE inhibitors: A drop in GFR ie .20% rise in serum creatinine levels when patient is on ACEI , raises the possibility of RA stenosis …

Hypothyroidism is an endocrine disorder caused by deficiency of Thyroid hormone which results in systemic manifestation of a spectrum of symptoms.
Prevalence : Primary hypothyroidism is 1:100 but increases upto  1:20 if patients with subclinical hypothyroidism are included. But  in Mountainous region of Nepal, Iodine deficiency is common.
Female:male= 6:1
Etiology or Causes of Hypothyroidism:
Autoimmune or Hashimoto’s Disease and Iatrogenic causes account for maore …

Anemia in context of CRF usually correlates with the severity of Renal failure.Deficiency of erythropoietin is the primary cause of anemia in chronic renal failure.Anemia is responsible for several nonspecific symptoms in a patient with CRF.
Mechanisms implicated for Anemia in CKD are-
1. Relative deficiency of Erythropoeitin: Also called hematopoietin or hemopoietin, it is produced by the peritubular capillary endothelial cells in the …

Chest X-ray of a 35 year male with Pulmonary Tuberculosis who is under Anti-tubercular Treatment CATEGORY II.He had pyopneumothorax on the right -side with collapsed lower lobe and Miliary seeding on the left lung. Chest drain was in-situ on Right-side.
His Chest X- ray shows diffuse ” Millet seed” lesions on Left side typical of Miliary Tuberculosis.
See the fullsize image …