Question 1
Q.1
What is the pathogenetic mechanism which has led to the sudden increase in the serum creatinine of this patient?
a-Fibrinoid necrosis of the vessel wall in relation to vasculitis.
b-Extracapillary proliferation in the glomeruli reflecting crescentic glomerulonephritis.
c-Intratubular granular casts and mitoses as part of acute tubular injury.
d-Interstitial inflammation as a component of acute interstitial nephritis.
e-Endocapillary proliferation in relation to an immune mediated glomerulonephritis.