Microscopic Hematuria in African American Woman? - USMLE Forums
USMLE Forums Logo
USMLE Forums         Your Reliable USMLE Online Community     Members     Posts
Home
USMLE Articles
USMLE News
USMLE Polls
USMLE Books
USMLE Apps
Go Back   USMLE Forums > USMLE Step 1 Forum

USMLE Step 1 Forum USMLE Step 1 Discussion Forum: Let's talk about anything related to USMLE Step 1 exam


Reply
 
Thread Tools Search this Thread Display Modes
  #1  
Old 11-08-2010
mtoi's Avatar
USMLE Forums Scout
 
Steps History: Not yet
Posts: 71
Threads: 30
Thanked 52 Times in 29 Posts
Reputation: 62
Urine Sample Microscopic Hematuria in African American Woman?

A young African American woman has normal physical exam except lab study reveals microscopic hematuria, BUN and creat normal. what is the first step in work up?

hint .... oxygen tension in renal medulla
__________________
i'm lukng 4 STUDY BUDDY, search 'mtoi' on facebook
Reply With Quote Quick reply to this message



  #2  
Old 11-08-2010
Haisook's Avatar
USMLE Forums Master
 
Steps History: 1+CK+CS+3
Posts: 752
Threads: 124
Thanked 614 Times in 265 Posts
Reputation: 634
Default

Renal papillary necrosis secondary to sickle cell anemia?
Reply With Quote Quick reply to this message
The above post was thanked by:
mtoi (11-08-2010)
  #3  
Old 11-08-2010
mtoi's Avatar
USMLE Forums Scout
 
Steps History: Not yet
Posts: 71
Threads: 30
Thanked 52 Times in 29 Posts
Reputation: 62
Default

the answer is along the same thought process.
but the question is - what is the first step in workup

in renal papillary necrosis --> gross hematuria and proteinuria.

renal papillary necrosis may be associated with
Diabetes mellitus, Acute pyelonephritis, Chronic phenacetin use [acetaminophen is phenacetin derivative], and Sickle cell anemia
__________________
i'm lukng 4 STUDY BUDDY, search 'mtoi' on facebook
Reply With Quote Quick reply to this message
 
  #4  
Old 11-09-2010
mtoi's Avatar
USMLE Forums Scout
 
Steps History: Not yet
Posts: 71
Threads: 30
Thanked 52 Times in 29 Posts
Reputation: 62
Default

first step in workup is - Sickle cell screen
WHY - This patent probably has sickle cell trait. Oxygen tension in renal medulla is low enough to induce sickling in peri-tubular capillaries leading to microinfarctions
__________________
i'm lukng 4 STUDY BUDDY, search 'mtoi' on facebook
Reply With Quote Quick reply to this message
  #5  
Old 11-09-2010
pakbrain's Avatar
USMLE Forums Scout
 
Steps History: Not yet
Posts: 52
Threads: 3
Thanked 48 Times in 24 Posts
Reputation: 58
Default

nice thought
microocclusions and pain crises leading to tissue ischemia and infarctions
Reply With Quote Quick reply to this message
The above post was thanked by:
mtoi (11-09-2010)



Reply

Tags
Pathology-, Physiology-, Renal-, Step-1-Questions

Quick Reply
Message:
Options

Register Now

In order to be able to post messages on the USMLE Forums forums, you must first register.
Please enter your desired user name, your email address and other required details in the form below.
User Name:
Password
Please enter a password for your user account. Note that passwords are case-sensitive.
Password:
Confirm Password:
Email Address
Please enter a valid email address for yourself.
Email Address:
Medical School
Choose "---" if you don't want to tell. AMG for US & Canadian medical schools. IMG for all other medical schools.
USMLE Steps History
What steps finished! Example: 1+CK+CS+3 = Passed Step 1, Step 2 CK, Step 2 CS, and Step 3.

Choose "---" if you don't want to tell.

Favorite USMLE Books
What USMLE books you really think are useful. Leave blank if you don't want to tell.
Location
Where you live. Leave blank if you don't want to tell.

Log-in

Human Verification

In order to verify that you are a human and not a spam bot, please enter the answer into the following box below based on the instructions contained in the graphic.



Thread Tools Search this Thread
Search this Thread:

Advanced Search
Display Modes


Similar Threads
Thread Thread Starter Forum Replies Last Post
Hematuria + Hemoptysis Syndromic USMLE Step 2 CK Classic Clues 3 07-09-2016 12:03 PM
African American Woman with Dyspnea mosallam USMLE Step 2 CK Forum 6 03-31-2010 11:03 PM
An HIV positive woman on HAART Hohepa USMLE Step 2 CK Forum 4 03-09-2010 10:04 PM
Lousy CV - should I give up my dream of being an American MD? slampale IMG/FMG Forum 5 12-16-2009 09:42 AM
Foreign medical student who transferred to American University bella550 General Topics Forum 6 10-12-2009 11:45 AM

RSS Feed
Find Us on Facebook
vBulletin Security provided by vBSecurity v2.2.2 (Pro) - vBulletin Mods & Addons Copyright © 2017 DragonByte Technologies Ltd.

USMLE® & other trade marks belong to their respective owners, read full disclaimer
USMLE Forums created under Creative Commons 3.0 License. (2009-2014)