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hyc 1152 (Back to the infamous KIDNEY case, I forget to mention the treatment drugs)
Oh, before I forget, why is it NOT Focal Segmental Glomerulosclerosis? Why not? Recall the case: . A 31 year old man causally meanders into your clinic with some kidney disorder his “other” doctor looked at. He is has no rash, arthralgia, hematuria. Labs show BP at 100/70. He has edema, and a large palpable liver. Ulcers are seen on lower legs. Labs are BUN=21, Creatinine=1.7. U/A shows significant proteinuria. There is elevated cholesterol. Ultrasound shows enlarged kidneys. Tests you ordered show HIV neg., normal sugars, subepithelial granular immune complex deposits on ALL glomeruli.
A) Focal Segmental Glomerulonephritis, this involves only SOME (hence the name “focal”) of the glomeruli. And You see hyalinization sclerosis and note that this FSG disease often involves HIV patients. This pt.’s HIV test was negative.
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"All USMLE cases are original and are expressly not from questions seen, recalled, paraphraphrased from the real USMLE, the material is for the purpose of the education of future physicians and the safety of their patients."
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04-25-2004, 09:16 PM
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