renal q -

[ArchivalUser]

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

[ArchivalUser]

mash

drug induced interstitial nephritis

[ArchivalUser]

amruta

answer is c

[ArchivalUser]

mumbai

MASH
HE TAKES IBUPRFEN OCCASIONALLY,HENCE THAT POSSIBILITY IS UNLIKELY

[ArchivalUser]

Mar

this Q appears in my step2 exam

[ArchivalUser]

amruta

besides...if it were c, we would get renal tubular casts not erythrocyte casts.....what's the answer to this one mumbai?

[ArchivalUser]

imdiff

is it A?

in elderly drug induced occurs

[ArchivalUser]

Sun

D.

[ArchivalUser]

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.

[ArchivalUser]

ap

D