Renal zebras Flashcards

1
Q

IgG4 dx

A

tubulointerstitial nephritis on exam
autoimmune pancreatitis
allergic rhinitis
submandibular gland swelling

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2
Q

labs associated with IgG4 dx

A
elevated ANA
low serum complement levels
elevated serum IgG
elevated serum IgE
peripheral eosinophilia
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3
Q

kidney imaging with IgG4 dx is with

A

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

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4
Q

definitive diagnosis of IgG4 related dx is with

A

tissue biopsy to demonstrate infiltrative with IgG4 positive plasma cells

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5
Q

Treatment of IgG4 dx is with

A

glucocorticoids.

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6
Q

lead nephropathy occurs with

A

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

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7
Q

lead nephropathy is associated with

A

hyperuricemia, HTN, and recurrent gouty attacks

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8
Q

chronic tubulointerstitial dx from lead nephropathy is

A

after years of continuous or intermittent lead exposure.

lead contaminated moonshine.

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

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9
Q

how to measure lead levels?

A

blood lead levels

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