A 54-year-old male came to the ER with increased flank pain, hematuria, nausea, no radiation pain... has a history of membranous nephropathy for 6 months, and it was managed. Now he has dilated and torsion tastes and bilateral edema
سؤال مجاني 1 من 10 اليوم · اشترك وكمّل بدون حد
اعرض الإجابة
الإجابة والشرح
ادخل لحسابك عشان نحفظ إجاباتك ونوريك أخطاءك.
الإجابة: A. Hypercoagulability
Flank pain, haematuria and new venous congestion/edema in a patient with membranous nephropathy suggest renal vein thrombosis. It results from the hypercoagulable state of nephrotic syndrome (urinary loss of antithrombin III) and is especially linked to membranous nephropathy. The sources list flank pain, haematuria and scrotal edema as its manifestations.
- Stones (urine calcium), malignancy or UTI don't explain the vascular picture.
ليش كل خيار صح أو غلط
-
A
ليش صح
In nephrotic syndrome, urinary loss of antithrombin-III lowers anticoagulant activity, so clots form; renal vein thrombosis is especially linked to membranous nephropathy.
✓ Glomerular Diseases [Notes].pdf · p. 7 -
C
ليش غلط
Malignancy (e.g. colorectal cancer) is listed as a secondary cause of membranous nephropathy, not as the mechanism of a new thrombotic complication.
✓ Glomerular Diseases [Notes].pdf · p. 1 -
D
ليش غلط
Infection risk in nephrotic syndrome (peritonitis, pneumonia, UTI, soft tissue) comes from urinary loss of immunoglobulins; the clot-related picture here is explained by hypercoagulability.
✓ Glomerular Diseases [Notes].pdf · p. 7
- المصدر
- Glomerular Diseases [Notes].pdf · p. 7
MC Approaches.pdf · p. 14
Nephrology 🌷.pdf · p. 26 - المحاضرة
- Glomerular Diseases · Nephrology · Module C
- ظهر في
- MED42 Compre C