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renal q - - Printable Version +- USMLE Forum - Largest USMLE Community (https://www.usmleforum.com) +-- Forum: USMLE Forum (https://www.usmleforum.com/forumdisplay.php?fid=1) +--- Forum: Step 1 (https://www.usmleforum.com/forumdisplay.php?fid=2) +--- Thread: renal q - (/showthread.php?tid=4160) Pages:
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renal q - - ArchivalUser - 05-23-2004 mumbai A 70-year-old man presents to you because he has not been feeling well for several months. He mainly complains of malaise and achiness. He takes ibuprofen occasionally for these symptoms. His urine shows protein and erythrocyte casts. A 24-h urine shows 1 g of protein per day. His creatinine clearance is 24 mL/min. About 4 months ago, his serum creatinine was normal. Which of the following is the most likely diagnosis? Answer Choices : Correct answer : Your answer A. Amyloidosis B. Light chain deposition disease C. Nonsteroidal induced interstitial nephritis D. Vasculitis 0 - ArchivalUser - 05-23-2004 mash drug induced interstitial nephritis 0 - ArchivalUser - 05-23-2004 amruta answer is c 0 - ArchivalUser - 05-23-2004 mumbai MASH HE TAKES IBUPRFEN OCCASIONALLY,HENCE THAT POSSIBILITY IS UNLIKELY 0 - ArchivalUser - 05-23-2004 Mar this Q appears in my step2 exam 0 - ArchivalUser - 05-23-2004 amruta besides...if it were c, we would get renal tubular casts not erythrocyte casts.....what's the answer to this one mumbai? 0 - ArchivalUser - 05-23-2004 imdiff is it A? in elderly drug induced occurs 0 - ArchivalUser - 05-23-2004 Sun D. 0 - ArchivalUser - 05-23-2004 cheerkut hi, me thinks A is the answer..since that could explain proteinuria.. papillary necrosis ---causes casts and raised Creat glomerular disease---causes proteinuria so on a setting of reduced renal fuction u get acute insult . Amyloidosis seems to fit the bill. 0 - ArchivalUser - 05-23-2004 ap D |