achilles
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65 yr old woman comes to the physician with complaints of fatigue and wt gain. she has rh. arthritis and hypertension. she is taking thiazides and naproxen. no smoking,alcohol or drugs history.vitals are stable. physical exam shows edema and liver palpated 2 cms below the costal margin. urinalysis shows 4+ proteinuria. usg of the kidney's shows enlarged kidneys. renal biopsy was performed.which of the following is the most likely finding?
1-crescent formation on light microscopy
2-deposits revealed under polarised light
3-linear immunoglobulin deposits revealed on immunofluorescence microscopy
4-granular immunoglobulin deposits revealed on immunofluorescence microscopy
5-normal light microscopy findings
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| nida
Forum Elite
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2) Amyloid.
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| mesh
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good one nida...agree with u....
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| drsap
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also agree with nida.
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| AAAAA
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OBJECTIVE. To evaluate renal biopsy findings and clinicopathologic correlations in patients with rheumatoid arthritis (RA). METHODS. Retrospective study of renal biopsy specimens from 110 RA patients in whom the clinical renal disease was probably due to RA itself and/or to antirheumatic therapy. RESULTS. The most common histopathologic finding was mesangial glomerulonephritis (GN) (n = 40), followed by amyloidosis (n = 33), membranous GN (n = 19), focal proliferative GN (n = 4), minimal-change nephropathy (n = 3), and acute interstitial nephritis (n = 1). Amyloidosis was the most common finding in patients with the nephrotic syndrome. In patients with isolated proteinuria, amyloidosis, membranous GN, and mesangial GN were almost equally common. Although mesangial GN was found in almost two-thirds of the RA patients with hematuria (with or without proteinuria), there still remained a 1 in 5 chance that the biopsy would reveal membranous GN or amyloidosis. Membranous GN was closely related to gold or D-penicillamine therapies, whereas mesangial GN probably related to RA itself. CONCLUSION. The renal morphologic lesion in RA patients with isolated proteinuria and those with hematuria cannot be accurately predicted on the basis of clinical symptoms and signs. Biopsy is thus useful in differential diagnosis, assessment of prognosis, and decision-making with regard to treatment.
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| AAAAA
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AAAAA wrote:
OBJECTIVE. To evaluate renal biopsy findings and clinicopathologic correlations in patients with rheumatoid arthritis (RA). METHODS. Retrospective study of renal biopsy specimens from 110 RA patients in whom the clinical renal disease was probably due to RA itself and/or to antirheumatic therapy.
RESULTS. The most common histopathologic finding was mesangial glomerulonephritis (GN) (n = 40), followed by amyloidosis (n = 33), membranous GN (n = 19), focal proliferative GN (n = 4), minimal-change nephropathy (n = 3), and acute interstitial nephritis (n = 1).
Amyloidosis was the most common finding in patients with the nephrotic syndrome. In patients with isolated proteinuria, amyloidosis, membranous GN, and mesangial GN were almost equally common.
Although mesangial GN was found in almost two-thirds of the RA patients with hematuria (with or without proteinuria), there still remained a 1 in 5 chance that the biopsy would reveal membranous GN or amyloidosis. Membranous GN was closely related to gold or D-penicillamine therapies, whereas mesangial GN probably related to RA itself.
CONCLUSION. The renal morphologic lesion in RA patients with isolated proteinuria and those with hematuria cannot be accurately predicted on the basis of clinical symptoms and signs. Biopsy is thus useful in differential diagnosis, assessment of prognosis, and decision-making with regard to treatment.
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| frontal
Forum Guru
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Guru (AAAA), I really need to understand this: what WAS the logic behind saying/pasting the same thing TWICE?
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| karusmle
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so what is the answer achilles??
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| AAAAA
Forum Fanatic
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I prefer to separate out the paragraphs.
I can not delete, can not change any size of the letter and there is nothing I can do.
The moderator absolutely took everything away from me even any bold letter or anything to highlight any word.
SO the only thing I have left which I found out is to quote and change the format.
Thank you for asking.
I believe everyone has the right to edit within 10-15 minutes. But this moderator thinks otherwise.
This is America and we have freedom to speak !
The moderator wants the wealth of America but refuses to accpt the western style of freedom by stricting everyone here to edit !
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| AAAAA
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AAAAA wrote:
I prefer to separate out the paragraphs.
I can not delete, can not change any size of the letter and there is nothing I can do.
The moderator absolutely took everything away from me even any bold letter or anything to highlight any word.
So the only thing I have left which I found out is to quote and change the format.
Thank you for asking.
I believe everyone has the right to edit within 10-15 minutes. But this moderator thinks otherwise.
This is America and we have freedom to speak !
The moderator wants the wealth of America but refuses to accept the western style of freedom by stricting everyone here to edit !
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| achilles
Forum Guru
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the diagnosis is amyloidosis and the answer is B.
good one nida !
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| cyra
Moderator
Topics: 29
Posts: 844
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AAAAA wrote:
I prefer to separate out the paragraphs.
I can not delete, can not change any size of the letter and there is nothing I can do.
The moderator absolutely took everything away from me even any bold letter or anything to highlight any word.
SO the only thing I have left which I found out is to quote and change the format.
Thank you for asking.
Do you mean to say your panel doesnot show the edit/delete, highlighting and bold options?I am pretty sure that option can't just be taken away like that.Since I am the only moderator active at this time and do most of the "cleaning up"...I assure you that my control panel doesnot give me such an option so as to prevent someone from using these options.
AAAAA wrote:
I believe everyone has the right to edit within 10-15 minutes. But this moderator thinks otherwise.
This is America and we have freedom to speak !
The moderator wants the wealth of America but refuses to accept the western style of freedom by stricting everyone here to edit !
Ofcourse you have the right and freedom to speak(and this doesnot apply only to America).I don't think otherwise.What I do believe is that freedom of speech definitely doesnot entail speculating on who deserves to practise in America ...neither does it give anyone the right to be judgmental and offend people.Its my job to keep the forums in order...this includes removing double posts.There have been countless times where I have edited your posts and ALL of them have been because you have posted the same thing over and over again.It disrupts the continuity of the topic at hand AAAAA and there is definitely a need to maintain some form of decorum and order.Enough said.
Now if you have any issues with the entire edit/delete,highlighting option...please let me know so I can report it to the site administrator.
Edited by cyra on 06/12/06 - 02:13 PM
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| AAAAA
Forum Fanatic
Topics: 156
Posts: 1,991
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Most of ther FOrum allow editing, but many only allows you to edit within a ver limited amount of time 15 minutes.
Also others can use bold letters but none of the features are offered to me.
I am happy where I am and I have a very, very, very slow modem. I did not intend to post twice but it took more than 30 seconds to post so sometimes I accidentally re-click.
I do not have the same problem at the office. I do subscrine the highst speed internet in the office but use a very slow one at home.
I do not care about the edit/delete, highlight, bold option.I finish my exam tomorrom
and I have a lot of other work to do @!
Thank you very much !
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| AAAAA
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I am surprised as you all the options disappeared and it took more than 30 seconds to upload anything !
It many be the CIA is doing tricks to my computer. LOL !!!!
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