Leaky

Multisystem Processes & Disorders


Step 1: View Clinicals

{"ops":[{"insert":"A 24 year old man presents with a non-productive cough and worsening exertional dyspnea for 1 month, associated with intermittent chills and night sweats.\n\nHe was treated with Roxithromycin + Amoxicillin for 2 weeks, with no response.\n\nHis basic investigations are significant for an Hb of 6.0 g\/dL with normal leukocyte and platelet counts, and a serum creatinine of 1.6 mg\/dL, with an eGFR of 30 ml\/min\/1.73m2.\n\nA CXR shows pulmonary infiltrates in the lower regions of both lungs; a urinalysis shows microscopic hematuria with erythrocyte casts.\n"},{"insert":"\n"},{"insert":{"image":"\/storage\/case-images\/pd\/PD-M-197_en.png"}},{"insert":"\n"}]}

Step 2: Order Relevant Investigations

1. Atypical Pneumonia Screen
2. Renal Biopsy
3. Bronchoalveolar Lavage
4. Autoimmune Screen

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