Differential Diagnosis for Hypertension, Elevated Creatinine, and Abdominal Pain in a 34-Year-Old Nigerian Male
Single Most Likely Diagnosis
- Chronic Kidney Disease (CKD) secondary to Hypertension: This is a common condition in Nigeria, where hypertension is prevalent. The elevated creatinine levels suggest impaired kidney function, which could be a result of long-standing hypertension.
Other Likely Diagnoses
- Kidney Stones: Abdominal pain and elevated creatinine could be indicative of kidney stones causing obstructive nephropathy.
- Pyelonephritis or Kidney Infection: Infection of the kidney could cause abdominal pain, elevated creatinine, and hypertension due to systemic inflammation.
- Sickle Cell Nephropathy: Given the patient's Nigerian background, sickle cell disease is a possibility. Sickle cell nephropathy can cause hypertension, kidney damage, and abdominal pain.
Do Not Miss Diagnoses
- Aortic Dissection: Although less common, aortic dissection can cause abdominal pain and hypertension. It's a medical emergency that requires immediate attention.
- Pheochromocytoma: A rare tumor of the adrenal gland that can cause episodic hypertension, abdominal pain, and kidney damage.
- Vasculitis (e.g., ANCA-associated vasculitis): Inflammation of blood vessels can cause kidney damage, hypertension, and abdominal pain.
Rare Diagnoses
- Alport Syndrome: A genetic disorder that affects the kidneys and can cause hypertension, kidney damage, and abdominal pain.
- Fabry Disease: A rare genetic disorder that can cause kidney damage, hypertension, and abdominal pain due to the accumulation of a particular type of fat in the body's cells.
- Renal Artery Stenosis: Narrowing of the arteries that supply blood to the kidneys can cause hypertension and kidney damage.