NBME 20 Tubulointerstitial nephritis (NBME Answers)

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nbme20/Block 3/Question#13 (reveal difficulty score)
A 45-year-old woman develops proteinuria and ...
Tubulointerstitial nephritis 🔍 / 📺 / 🌳 / 📖
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submitted by ∗hayayah(1212)

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Acute antstieiirtl lraen tnai.mmianfol Puyiar yllia(scascl isensiohop)l dan emaoatiz nicurcorg tefar inmairdsntaoti fo srdgu ttha act as ,shtpaen ucigdinn heipinivytsersyt (eg, ertsci,diu DAIS,Ns linncilipe svet,vadieir rponto pmup iirotisnb,h iamn,prif nqens,oioul eus.oinafms)dl

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hungrybox uBt woh is a 2r-eay srtyioh t?ceau +4

jinzo ehert si olas " ihrnCoc ilaresntitit dieseas " +4

targetmle i tog ti nrowg eeubasc rteeh nsatw ,asrh slao there saw uaeotrri,pni toedns it diicntae rguroemlla evnotlnem?vi +2

zevvyt Got ti onrgw oto uzc of that. tBu trehe acn eb rneoiairput in htsinp,ire sutj tno sa uhmc sa ni rncopithe .eroymdsn I gusse ta'hst nsifgucon czu shti yept of ehriitpns ints' uoegdrp iwth het hetor tnecirhip cionodti.sn +1

lovebug FA 9,210 Pega 195. +

I think this can either be acute or chronic tubulointerstitial nephritis. According to MSDmanuals, 'acute' TIN symptom onset can occur 18 months after NSAID use. The classic triad of fever, urticaria, and eosinophilia is only present in <10% of cases. Also, they can have proteinuria (<1 g/day) or even nephrotic-range proteinuria (>3.5 g/day) if it's caused by NSAIDs.

+2/- fatboyslim(118)

This is the link to my source: https://www.msdmanuals.com/professional/genitourinary-disorders/tubulointerstitial-diseases/tubulointerstitial-nephritis

Sorry forgot to post in same comment

+/- fatboyslim(118)

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submitted by apple222(3)

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rpenruiaoti + aiheraut,m crncohi gseaancli bsuea t&g-; rnael alaipyrlp risesnoc , hhiwc nca be a rerognipsso fmor uteca tettsliianri hipnstrei cdrg(di-uneud yiinpsihrevsytet ngniivlvo the tsmtntieiiru dan luteb)su

oma1thP9a 21p7

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