問題詳情

94 35 歲女病人腎臟功能在 8 個月內從正常進展到嚴重腎衰竭。追溯她過去使用的多種藥物中發現含有馬兜鈴酸(aristolochic acid)成分。則下列何者最可能代表她腎臟裡面的病理變化?
(A) interstitial inflammation with predominant eosinophils
(B) crescentic glomerulonephritis
(C) acute tubular necrosis
(D) interstitial fibrosis with relative paucity of inflammation代號:2101頁次 10-10 :

參考答案

答案:D
難度:困難0.2
統計:A(0),B(1),C(3),D(1),E(0)

用户評論

Chris】評論

(A) acute morphology, but patient has been through 8 month(B)Glomerulus surrounded by proliferating cells that are parietal cells b/c not in the glomerulus, and has crescent shape, hence the name crescentic glomerular nephritis. This is the WORST glomerular nephritis to have b/c in 3 months; pts will go into acute renal failure and die unless pt is on dialysis.  Many dz’s have a crescentic glomerulonephritis, but the only one I need to know is Goodpastures; this is a NEPHRITIC dz; this dz has crescentic glomerulonephritis on bx. (C)Acute Tubular Necrosis: MCC  =  Ischemic  Acute  Tubula...