IM - Renal
dnaderadam - 10-30-09 10:26 Bookmark and Share

A 24 year-old women comes to your office complaining of decreased appetite, weakness , oliguria and red urine few days ago. She recall a sore throat with fever 2 weeks ago , being treated with penicillin benzathine. Physical exam shows inferior members edema and BP 170x110 mmHg. Which of the following is the best initial treatment for this patient ?






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#1
Re: IM - Renal
qingjie87 - 10-30-09 13:23

My answer is: d.

#2
Re: IM - Renal
reksarma - 10-30-09 19:26

My answer is: a.

#3
Re: IM - Renal
usmlefever3 - 10-31-09 02:09

My answer is: b.

#4
Re: IM - Renal
omaran - 11-01-09 00:38

My answer is: b.

#5
Re: IM - Renal
hanan2009el - 11-01-09 00:42

My answer is: d.

#6
Re: IM - Renal
rababzain - 11-03-09 07:29

My answer is: b.

#7
Re: IM - Renal
ysemak - 11-03-09 08:43

My answer is: d.

#8
Re: IM - Renal
brexin - 11-03-09 14:11

My answer is: c.

#9
Re: IM - Renal
sajjad - 11-04-09 02:24

My answer is: b.

#10
Re: IM - Renal
medic - 11-05-09 07:41

My answer is: a.

#11
Re: IM - Renal
vernette - 11-06-09 00:01

My answer is: a.

#12
Re: IM - Renal
conym5 - 11-17-09 09:03

My answer is: c.


decreased appetite, weakness , oliguria and red urine followed by sore throat with fever ... could be scarlet fever..and the complication is nephritic syndrome now...treatment is : IV Fluids, steroids and antibiotics, and also low protien diet

#13
Re: IM - Renal
dadukids - 12-05-09 07:53

My answer is: d.

#14
Re: IM - Renal
tianjin - 12-06-09 17:36

My answer is: b.

#15
Re: IM - Renal
medusmle01 - 12-21-09 07:42

My answer is: c.

#16
Re: IM - Renal
demolition - 12-21-09 10:09

My answer is: c.

#17
Re: IM - Renal
jordanrobin - 12-31-09 11:15

My answer is: c.

#18
Re: IM - Renal
zoah2005 - 01-01-10 11:27

My answer is: c.

#19
Re: IM - Renal
aaronhurowitz - 01-01-10 12:11

My answer is: b.

#20
Re: IM - Renal
mtniharika - 01-05-10 05:22

My answer is: c.

#21
Re: IM - Renal
pat2005 - 01-09-10 12:03

My answer is: a.

#22
Re: IM - Renal
oldman - 01-11-10 05:51

My answer is: d.

#23
Re: IM - Renal
tahiraraees - 02-12-10 06:01

My answer is: a.

#24
Re: IM - Renal
shahra - 02-12-10 17:02

My answer is: b.

#25
Re: IM - Renal
preethy21 - 03-21-10 03:32

My answer is: a.

#26
Re: IM - Renal
pawan238 - 03-21-10 04:01

My answer is: d.

#27
Re: IM - Renal
ammulufy - 03-21-10 18:53

My answer is: a.


In this ptnt both her hytn as well as her renal problem is to be addressed frst.....her steptococcal infection is attended by the benzathine penicillin....therefore abiotics are not required....her acute renal failure can be best taken care of by d diuretic....hence I go wid a.

#28
Re: IM - Renal
dana44 - 03-24-10 13:11

My answer is: d.

#29
Re: IM - Renal
enas3110 - 03-25-10 17:09

My answer is: d.

#30
Re: IM - Renal
therockbigfight - 04-29-10 09:19

My answer is: d.

#31
Re: IM - Renal
babbu5508 - 05-23-10 02:35

My answer is: a.


Symptomatic therapy is recommended for patients with acute poststreptococcal glomerulonephritis (APSGN), and it should be based on the clinical severity of the illness. The major goal is to control edema and blood pressure.

#32
Re: IM - Renal
samyou - 05-25-10 15:33

My answer is: a.

#33
Re: IM - Renal
residencyrace - 05-29-10 11:49

My answer is: c.

#34
Re: IM - Renal
zubiashoaib - 08-09-10 23:20

My answer is: a.

#35
Re: IM - Renal
maverickmedico - 08-10-10 04:09

My answer is: d.

#36
Re: IM - Renal
medical1212 - 08-19-10 10:13

My answer is: a.

#37
Re: IM - Renal
dreves - 08-23-10 04:38

My answer is: a.

#38
Re: IM - Renal
paperp - 10-19-10 17:16

My answer is: d.

#39
Re: IM - Renal
eman1993 - 10-20-10 06:23

My answer is: c.

#40
Re: IM - Renal
yo123abc - 11-22-10 22:26

My answer is: a.

#41
Re: IM - Renal
wanali - 11-23-10 14:10

My answer is: d.

#42
Re: IM - Renal
rzzq71 - 11-25-10 00:08

My answer is: e.

#43
Re: IM - Renal
nevillenic - 11-25-10 15:00

My answer is: b.

#44
Re: IM - Renal
amnakhider - 11-26-10 01:13

My answer is: c.

#45
Re: IM - Renal
mtop10 - 12-20-10 10:18

My answer is: b.

#46
Re: IM - Renal
masoodwajidi - 12-20-10 14:04

My answer is: a.

#47
Re: IM - Renal
ksjanjua - 12-23-10 21:19

My answer is: d.

#48
Re: IM - Renal
sudha2015 - 12-27-10 10:53

My answer is: d.

#49
Re: IM - Renal
rescue2011 - 04-11-11 18:42

My answer is: a.

#50
Re: IM - Renal
sweet12 - 04-14-11 00:31

My answer is: b.

#51
Re: IM - Renal
sudha2015 - 04-14-11 01:06

post- streptococcus glomerulonephritis the history of throat infection couple weeks ago and the presence of hematuria , oliguria and edema
Fluids restriction, furosemide and hydralazine

#52
Re: IM - Renal
drinnocentevil - 04-14-11 09:34

My answer is: b.

#53
Re: IM - Renal
snehajudah - 04-14-11 12:32

My answer is: a.

#54
Re: IM - Renal
anjalistha - 04-14-11 15:49

My answer is: a.

#55
Re: IM - Renal
786hamzaara - 04-14-11 23:59

My answer is: c.

#56
Re: IM - Renal
babbu5508 - 04-30-11 15:02

This patient probably has post- streptococcus glomerulonephritis , suggested by the history of throat infection couple weeks ago and the presence of hematuria , oliguria and edema.

#57
Re: IM - Renal
robin4u - 05-10-11 13:04

My answer is: d.

#58
Re: IM - Renal
drnatraj - 05-10-11 15:58

My answer is: a.

#59
Re: IM - Renal
gunner87 - 05-22-11 12:45

My answer is: a.

#60
Re: IM - Renal
victoria12 - 05-22-11 15:32

My answer is: d.

#61
Re: IM - Renal
Youngdoctor - 05-28-11 02:53

My answer is: b.


I believe fluid restriction could help in addition to the Steroid use. I do not get the short version of AINES. Can any one explain , please.

#62
Re: IM - Renal
bluesea - 06-03-11 23:11

My answer is: b.

#63
Re: IM - Renal
adtruax - 06-04-11 18:03

My answer is: d.

#64
Re: IM - Renal
dinmenace - 06-16-11 00:54

My answer is: c.

#65
Re: IM - Renal
ankit0503 - 06-18-11 02:41

My answer is: d.


looks like a post strep nephritic syndrome to me.. and this is the best combo i can think of :)

#66
Re: IM - Renal
haytham - 06-23-11 07:28

My answer is: d.

#67
Re: IM - Renal
gogoooo - 08-13-11 08:52

My answer is: b.

#68
Re: IM - Renal
ag2011n - 08-15-11 17:08

My answer is: a.


Post infectous GN

#69
Re: IM - Renal
k90157 - 08-18-11 21:55

My answer is: d.

#70
Re: IM - Renal
nitishkumar - 08-19-11 15:37

My answer is: d.

#71
Re: IM - Renal
ankitapatel - 08-24-11 13:30

My answer is: d.

#72
Re: IM - Renal
usman440 - 08-24-11 16:09

My answer is: c.

#73
Re: IM - Renal
drmonia57 - 08-28-11 12:06

My answer is: c.

#74
Re: IM - Renal
chowdhury84 - 12-25-11 01:37

My answer is: a.

#75
Re: IM - Renal
shaiza - 04-01-12 18:55

My answer is: c.

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