icandoittoo
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A 29 y.o. female presents with fever and sore throat and is diagnosed to have streptococcal pharyngitis. She s treated with ampicillin and recovers fully in 7 days. 2 weeks later, she again develops fever and also a rash and notices slightly decreased urinary output. Urinalysis: pH....6; specific gravity......1.022; 1+ protein; 1+ blood; no glucose and no ketones. Urine microscopic examination shows RBCs, WBCs ( including eosinphils) but no casts or cystals.
Which of the following is most likely to have ocurred in this patient?
a.-Post strep GN
b.-Acute pyelonephritis
c.-ATN
d.-Drug induced interstitial nephritis
e.-Membranous glomerulopathy
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| sfk
Forum Elite
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D
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| SmokyWaters
Forum Elite
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d
eosinophiluria is quite specifc for AIN (acute interstitial nephritis) time duration after the treatment also matches
while post strept GN doesnt develop before 2 - 3 weeks until prior infections have been present
other drugs that can do the same are aminoglycosides, penicillins, cephalosporins, sulphonamides and salicylates
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| new_n_lost
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