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A 4-year-old boy is brought to the clinic by his parents due to a painless, progressively enlarging left-sided abdominal mass noticed during bathing. He has occasional abdominal pain but no fever, weight loss, or night sweats. His past medical history is unremarkable. On examination, he is well-appearing, but his blood pressure is 130/85 mmHg. A firm, smooth, non-tender mass is palpated in the left abdomen, not crossing the midline. Urinalysis shows microscopic hematuria. Abdominal ultrasound reveals a well-defined renal mass, and MRI confirms a large, solid, unilateral left kidney tumor.

What is the most likely diagnosis?

Real-Life cases to ensure you are ready for your MCCQE1 Exam!

Ace Qbank Clinical Edge

REAL-LIFE CASES TO ENSURE YOU ARE READY FOR YOUR MCCQE1 EXAM!

Ace Qbank Clinical Edge

Making the proper diagnosis is one of the most important aspects of any medical student’s or junior doctor’s clinical training and hence we created Clinical Edge Cases.

Ace Qbank Clinical Edge helps our students put their knowledge of symptoms and physical findings to test by applying clinical reasoning and assessment concepts to a series of common clinical vignettes. Problem-based learning is being used to focus on the cause behind the presentation of a simulated clinical case.

Each simulated Clinical Edge case contains a list of common causes of the presented condition, offers abundant references to the presented case, making additional information easy to find

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