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 +6  (nbme21#34)
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anorusMebm eostpiGlmrnuhielro si hpNirtc;oe YLNO NRTIIORUEPA is in het gevniett

It 'ncta eb GMNP seacube NGMP si Npihtcire thiw obsspile oetchirNp

hetOr ceisoch rae detnamieli yb Rnlea Boysip

hungrybox  agreed "granular deposits" rules out MCD (the only other nephrotic syndrome) because MCD is IF (-) +4
cooldudeboy1  could someone explain why the other choices are ruled out by biopsy? +
arlenieeweenie  @cooldudeboy1 PSGN does have a granular immunofluorescence, but there is no previous illness or hematuria mentioned so you can rule that out. Goodpasture is classically linear IF since they're antibodies against the GBM. IgA nephropathy is mesangial IF so it would deposit more in the middle. Minimal change wouldn't show anything on IF +2
qball  I know First Aid states MPGN as a nephritic disease but I think it can present as nephritic or nephrotic syndrome. https://emedicine.medscape.com/article/240056-clinical. Of course, the renal biopsy helps give it away but I wouldn't be so quick as to rule out MPGN +1
taediggity  Totally agree w/ you Qball... I thought MPGN too, but I think Penicillamine makes it Membranous Nephropathy +




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