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To create a world without kidney diseases, the ASN Alliance for Kidney Health elevates care by educating and informing, driving breakthroughs and innovation, and advocating for policies that create transformative changes in kidney medicine throughout the world.

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Board Review Course & Update

BRCU 2024: Test Your Knowledge

The on-call contact center calls you about a 32-year-old patient who underwent renal biopsy earlier that day due to nephrotic range proteinuria. After returning home, the patient noted gross hematuria. He was not told of any complications during the biopsy procedure. The patient was observed for two hours prior to being discharged. His BP is 115/68 mm Hg and heart rate is 95 bpm. He has mild flank tenderness and reports being mildly lightheaded.

Which of the following would be the most likely cause of this presentation?

  1. Subcapsular hematoma
  2. Infection
  3. Arteriovenous malformation
  4. Rapidly progressive glomerulonephritis

Show Answer

References:

  • Rasmussen, L.R., M. Loft, T.K. Nielsen, et al. "Short-term Complications for Percutaneous Ultrasound-Guided Biopsy of Renal Masses in Adult Outpatients." Acta Radiologica 59, no. 4 (2018): 491–6. doi:10.1177/0284185117720855
  • Manganelli, R., S. Iannaccone, G. Lombardi, et al. "Ematuria Macroscopica Dopo una Biopsia Renale. Caso Clinico" ["Gross Hematuria after Kidney Biopsy. A Case Report"]. Giornale Italiano di Nefrologia 34, no. 4 (2017): 61–71.

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ASN's Board Review Course & Update (BRCU) is the gold standard to maximize your readiness for the ABIM Nephrology Board certification and recertification exams. This course also provides a comprehensive and essential update for practicing nephrologists and healthcare professionals.

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