46 years known hypertensive on medication with intermittent dark haematuria and flank masses for past 5 years .

Normal hb 12.7g/dl

creatinine 300umol/l

urea 7

Patient counselled on the condition and the treatment options available being control of hypertension and  forms of renal replacement therapy when the indication is due.

summarised from the consulting room

Dr Richard Ametih