48-year-old man presents with fever, rash, and arthralgia. recently started taking a new medication for a respiratory infection. On examination, there is tenderness over the lower back. Laboratory tests show elevated serum Creatinine, pyuria, and white cell casts in the urine. What is most likely the diagnosis?
سؤال مجاني 3 من 10 اليوم · اشترك وكمّل بدون حد
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الإجابة: D. Acute Interstitial Nephritis (AIN)
✓ مطابق للمصدر
Acute Kidney Injury [Notes].pdf · p. 5
AKI after starting a new drug (e.g. a beta-lactam antibiotic) with fever, rash, arthralgia, pyuria and WBC casts is acute interstitial nephritis (an allergic, drug-induced tubulo-interstitial injury; urine eosinophils may be seen). Treatment is stopping the offending drug.
- ATN gives muddy brown granular casts, not WBC casts or a rash.
- Minimal change disease and Alport syndrome are glomerular and don't fit.
- المصدر
- Acute Kidney Injury [Notes].pdf · p. 5
Acute kidney injury.pdf · p. 16 - المحاضرة
- AKI & CKD · Nephrology · Module C
- ظهر في
- MED43 ♀ Compre · MED42 ♂ EOM C · MED41 ♂ EOM C · MED41 ♀ EOM C