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  #1  
Old 06-11-2010
good_boy_1234's Avatar
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Liver Hepatitis & Renal Failure

A 40-year-old man with a history of hepatitis comes to the physician for follow-up examination because of progressive renal failure. He has had unintentional weight loss of 4.5-kg (10-lb) over the past month and cramping pain in his leg muscles. A renal biopsy specimen shows polymorphonuclear cells and segmental necrotizing vasculitis. Which of the following types of hepatitis is most commonly associated with these findings?
A. Hepatitis A
B. Hepatitis B
C. Hepatitis C
D. Hepatitis D
E. Hepatitis E

Source: Kaplan Q bank
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  #2  
Old 06-12-2010
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Focal segmental glomerul sclerosis (which is the type of renal damage most likely described here) is associated with HCV and HIV infections.
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Old 06-12-2010
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Quote:
Originally Posted by ath.pantelis View Post
Focal segmental glomerul sclerosis (which is the type of renal damage most likely described here) is associated with HCV and HIV infections.
Sorry ath.pantelis, try again
Remember that biopsy showed segmental necrotizing vasculitis
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Old 06-12-2010
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Default How about B ?

I'll go with B.
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Old 06-12-2010
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Hepatitis B ... associated with Polyarteritis Nodosa ... I think that is the case about !! ... So, I would pick up "B".... Choice "C" associated with Cryoglobulinaemia and Focal Glomerulosclerosis ..
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Old 06-12-2010
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Yes guys,the right answer is B. Hepatitis B
Since segmental necrotizing vasculitis = Polyarteritis Nodosa
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Gastroenterology-, Internal-Medicine-, Step-2-Questions

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