A 43-year-old man presented to his family physician with breathlessness,swelling of his feet and frothy urine. The diagnosis od nephrotic syndrome was established on the basis of nephrotic range proteinuria, hyperalbuminemia, edema and hyperlipidemia. Test for HIV, hepatitis B and C were - ve. Anti-GBM, Antiphospholipid, ASO, Anti-DNAase, Anti-Neutrophil yroplasmic(ANCA), anti antinuclear(ANA) antibodies were -ve. Which of the following should be the next step in the management of this pt?
سؤال مجاني 3 من 10 اليوم · اشترك وكمّل بدون حد
اعرض الإجابة
الإجابة والشرح
ادخل لحسابك عشان نحفظ إجاباتك ونوريك أخطاءك.
الإجابة: D. renal biopsy
In an adult with nephrotic syndrome, secondary causes are screened first (HIV, hepatitis, ANA/dsDNA, etc.). When that screen is negative and the cause is still unclear, the next step is a renal biopsy. Biopsy is also needed before starting immunosuppression.
- Starting steroids or immunosuppressants without a tissue diagnosis is wrong in adults. IV albumin does not address the cause.
- المصدر
- Glomerular Diseases [Slides].pdf · p. 30
Glomerular Diseases [Notes].pdf · p. 13
Nephrology 🌷.pdf · p. 25 - المحاضرة
- Glomerular Diseases · Nephrology · Module C
- ظهر في
- MED42 ♀ EOM C