Renal zebras

Question 1

IgG4 dx

Answer 1

tubulointerstitial nephritis on exam
autoimmune pancreatitis
allergic rhinitis
submandibular gland swelling

Question 2

labs associated with IgG4 dx

Answer 2

elevated ANA
low serum complement levels
elevated serum IgG
elevated serum IgE
peripheral eosinophilia

Question 3

kidney imaging with IgG4 dx is with

Answer 3

enlarged kidneys or renal masses that may present as small peripheral cortical nodules

Question 4

definitive diagnosis of IgG4 related dx is with

Answer 4

tissue biopsy to demonstrate infiltrative with IgG4 positive plasma cells

Question 5

Treatment of IgG4 dx is with

Answer 5

glucocorticoids.

Question 6

lead nephropathy occurs with

Answer 6

pts who have exposure to lead or exposure to lead in the water, soil, paint or food products

Question 7

lead nephropathy is associated with

Answer 7

hyperuricemia, HTN, and recurrent gouty attacks

Question 8

chronic tubulointerstitial dx from lead nephropathy is

Answer 8

after years of continuous or intermittent lead exposure.

lead contaminated moonshine.

lead containing car radiators used to condense the alcohol in distinling process

Question 9

how to measure lead levels?

Answer 9

blood lead levels