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  #1  
Old 12-05-2011
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Urine Sample Smoky Brown Urine!

One week after a sore throat, a patient complains of having "smoky brown" urine. If he has developed a subtype of nephritic syndrome, one may expect that:
  • A. He will need steroid treatment
  • B. He will likely have progressive renal injury
  • C. He may have an ocular disorder
  • D. He will likely have a complete recovery
  • E. This type of nephritic syndrome is associated with renal vein thrombosis
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  #2  
Old 12-05-2011
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IgA nephropathy

A. He will need steroid treatment
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  #3  
Old 12-05-2011
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well truly speaking i don't know anwswer
but C,E are not right ones,i guess . .

y not B?

my answer is B
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  #4  
Old 12-05-2011
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Most likely A but also D seems friendly.
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  #5  
Old 12-05-2011
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I think it ll completely resolve
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Old 12-05-2011
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one week after a sore throat.....development of smoky urine usually indicates post streptococcal glomerulonephritis....hence i guess it will likely resolve completely
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  #7  
Old 12-05-2011
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Quote:
Originally Posted by daulath singh View Post
one week after a sore throat.....development of smoky urine usually indicates post streptococcal glomerulonephritis....hence i guess it will likely resolve completely
i go with the same option
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Old 12-05-2011
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it is D because this child has poststreptococcal glomerulonephritis as he has the red brown casts in urine. treatment i think is self limiting. answer a would be indicated in a nephrOTIC syndrome like IgA nepropathy even before one were to do a renal biopsy.
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  #9  
Old 12-05-2011
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I choose D

Steroid are not indicated
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Old 12-05-2011
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Poststreptococcal glomerulonephritis does not require steroid treatment...the treatment is symptomatic,....with complete recovery so D
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  #11  
Old 12-05-2011
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I go with option D
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  #12  
Old 12-06-2011
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If its IgA nephropathy, then the answer is A.
If its PSGN, the answer is D.

it says after 1 week so its PSGN, i choose D.

See MTBCK:
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  #13  
Old 12-06-2011
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It is PSGN so the answer is d
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  #14  
Old 12-06-2011
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Question on what basis do you diagnose the patient with IgA nephropathy,whycant it be poststreptococcal glomerulnephritis

Quote:
Originally Posted by aknz View Post
IgA nephropathy

A. He will need steroid treatment
plz give reasons for your answers ASAP, with proper concepts or references
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  #15  
Old 12-06-2011
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it depends on the age of the patient!!!!
if its a kid!! COMPLETE RECOVERY
if an adult.. it may be complete recovery or progress to RPGN!!
UW concept!!
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  #16  
Old 12-06-2011
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its PSGN, the answer is D
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  #17  
Old 12-06-2011
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Quote:
Originally Posted by CHAKRAM View Post
plz give reasons for your answers ASAP, with proper concepts or references
I was thinking as he has sore throat after 1 week so it is IgA nephropathy and IgA nephropathy occurs within days and about 40% cases progress to CRF .IgA nephropathy is treated with steroids.

But then I found on wikipedia that IgA nephropathy presents only after 1 to 2 days of upper respiratory tract infection, not after 7 days and has frank hematuria followed by blood in urine on microscopic examination.

I didn`t picked option D because my concept was PSGN occurs after 3 weeks,but it present in 1 to 3 weeks and its outcome is 95% children suffering from PSGN have a complete cure and 60 % adults have a complete cure,40% adults with PSGN progress to CRF ,so age is important prognostic factor in patient of PSGN.

I think now you find your answer.
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  #18  
Old 12-07-2011
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Quote:
Originally Posted by scopusmount View Post
One week after a sore throat, a patient complains of having "smoky brown" urine. If he has developed a subtype of nephritic syndrome, one may expect that:
  • A. He will need steroid treatment
  • B. He will likely have progressive renal injury
  • C. He may have an ocular disorder
  • D. He will likely have a complete recovery
  • E. This type of nephritic syndrome is associated with renal vein thrombosis
D. He will likely have a complete recovery.........
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  #19  
Old 12-07-2011
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So in conclusion, B and D both are viable options according to patients age. Since the question doesn't state the age of patient, this question should be altered by including patient's age.
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  #20  
Old 12-18-2011
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Quote:
Originally Posted by daulath singh View Post
one week after a sore throat.....development of smoky urine usually indicates post streptococcal glomerulonephritis....hence i guess it will likely resolve completely
Yeah I agree with you.It looks PSGN so it most probably resolves!
Hence choice D.
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