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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tAcue rileititnsta lanre malftnoiiam.n ayPiur sac(scliylal lhseoip)nsio and iozaemat irugoccrn frtae dtarimsinatino fo gusrd atth atc sa nahet,ps uidgcnni eiiyiersythstnpv (,eg seuitr,dic NIA,sSD lleniipicn reiiavsv,etd opornt pump ,itiobinsrh in,aprfim ,ilouonqsne mai)eodulfss.n

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hungrybox tuB ohw is a -year2 ityoshr t?auec +4

jinzo ehter is soal " conhCir ittntsialeir idassee " +4

targetmle i tog it nrwog euacebs rehet watsn ,srha oals rheet asw ptrieo,nriau deston ti tiicenda uollergarm oevem?nvtiln +2

zevvyt Gto ti rnogw too ucz of t.tha tuB herte acn eb ipeuotnirra ni htiisnper, jsut otn sa chmu as in ncrpeohit mrnosd.ye I sseug at'ths gcnuofnis zcu shti tpey fo ensirtpih tin's dgurpeo ithw eht rtheo teriihnpc tdcnionos.i +1

lovebug AF 9012, aPeg .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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rpieuniorat + aart,eumih oinccrh anicsegal eusba -&;gt lnear lypralaip sosnrcei , wihch anc be a speirosngor fmro ceaut tetaiiisrtnl tehsiirpn redundi(-dguc ispttyeenhiyrsvi lovnvniig teh mtneitrisiut nad tubles)u

oP9thaa1m p271

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