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ECG is one of the primary and most informative bedside tools for the cardiologist, even in the present era. Careful analysis of ECG changes (sometimes subtle) can be life-saving, such as in the case we are presenting now. A 42-year-old gentleman with no obvious coronary risk factors presented with vague pain and subtle ECG changes (outside physician passed off as usual). He was asked to consult a cardiologist. While awaiting outpatient consultation, he collapsed. The patient was resuscitated and coronary angiogram was immediately done, which showed distal left main disease. Successful intervention was carried out with the help of provisional stent strategy, and the patient was discharged safely.

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INTRODUCTION: Kidneys are vital organs of the body with multiple functions like excretory, acid base balance and maintenance of blood pressure. Renal parenchyma is mostly subjected to noxious insults but is last to respond. Simple nephrectomy is done for irreversibly damaged kidney. Most common indication for nephrectomy is chronic pyelonephritis. Aim of the study is to analyze the histopathological patterns of renal lesions and to analyze age and sex distribution. MATERIALS AND METHODS: The study included a total number of 70 cases, during a period of 2 years i.e., from October 2017 to September 2019. All renal biopsies and nephrectomy specimens received in pathology department, SVS Medical College, Mahabubnagar, Telangana, India were included in the study. RESULTS: In our study, 70 cases were analyzed. Out of which majority of the lesions (25.7 % ) were in the age group of 21-40 years and showed male preponderance (68.5 %). Present study showed chronic pyelonephritis being the most common non-neoplastic lesion. Among malignant tumors renal cell carcinoma was most common. CONCLUSION: The present study reveals various histological patterns of lesions in renal biopsies and nephrectomy specimens. Our study reveals that non-neoplastic lesions are more commonly encountered lesions.