kmp
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A 54 year old man suddenly develops flank pain, hematuria and hypertension. On further evaluation he is found to have a renal infarct. This patient should also be evaluated for which of the following diseases?
A) Cirrhosis
B) Endocarditis
C) Leukemia
D) Pneumonia
E) Prostatitis
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| meghana jadhav
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endocarditis
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megha
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| shawky2005
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B) Endocarditis
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| abarusmle
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Shawky, meghana...could you please explain, why?
Shawky would u pls check your prep4usmle inbox.
Thanks
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| mani
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B) Endocarditis with septic emoblism
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| meghana jadhav
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B) Endocarditis....dissiminated embolization can cause infarct anywhere...haematuria.........renal infarct...r he clue in favour...and also ht
:!: .thats what i think...
any further discussions always welcome
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megha
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| Malaysian
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I agree with the answers given above.
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| dariush
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Endocarditis? is it common for his age?
how about Leukemia? paraneoplastic synd --> Hypercoagulobility!!
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| Malaysian
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dariush I think the key word is 'sudden onset'
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| dariush
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Malaysian, Acute renal failure occurs "suddenly" one reason of which could be renal a. occlusion (perferably bilateral) just like acute MI. don't you think so?
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| Malaysian
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I'm not sure??If there is an embolism yes I think so but if its a plaque or thrombus then I'm not sure since the kidneys do have good vasculature control to maintain BP and GFR.
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| adeelmd
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shouldn't endocarditis be accompanied by fever, and a whole plethora of other symptoms... I can understand how it causes a renal infarct, but if this person had endocarditis he would have a lot more going on than just flank pain, hematuria, and renal infarction. if the usmle starts cutting and pasting signs and symptoms to their will it might make it a harder test, but a clinically useless one.
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| dariush
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Malaysian, a plaque or a Partial Thrombus (if that's what you mean) would not lead to infarction,etc. b/c of the very same reason you mentioned; excellent renal Autoregulation.
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| Malaysian
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adeelmd.......to the best of my knowledge USMLE clinical scenario are pretty long with all sorts of relevant or irrelevant information for you to analyse.
As for dariush.....yes....i agree with you??If you're wondering why the answer above is IE....its because its an embolism.
I've been told IE can cause GN...is that true??IF it can what type of GN does it cause?
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