Conversation: The conversation between human and AI assistant.
[|Human|] my mother has been suffering from low HB level for past 2 yrs. A week back she got some tests done which indicate kidney disease. She also got and X ray of skull done which says sella is widened anterioposteriorly with thinning of posterior clinoid processes . We are awaiting few more test results, after which Doctor will prescribe medicine. MEanwhile her urea , creatinine level are v high. 24 hr urine test has shown v high protein level. She is suffering from UTI as well. What do u think can be diagnisis? What does all this indicate? I understand stages of CKD , what stage wud this be? Is Skull test related to CKD? How can we establish what is causing what?
[|AI|]  Dear friend, welcome to Chat Doctor. How old is your mother?diabetic? Recurrent Otis?yes, the picture looks like that of CKD, probably a UTI related AKA (acute kidney injury). This could be stage L or E of RIFLE criteria. Pl. let me know the results of all the tests to comment meaningfully. Enlarge sell is not typical in CKD. Could be unrelated or calcium metabolism related .pl. follow your nephrologists advice and keep me posted on the progress. Detailed evaluation including, USG, urine culture, probably kidney biopsy in due course will be done. Hope I have answered you satisfactorily.  Good luck!