Dr.Kevin Obeng-Marnu,MD

03/11/2026

03/10/2026

03/01/2026

02/25/2026

02/18/2026

02/12/2026

02/08/2026

01/30/2026

01/28/2026

01/25/2026

01/20/2026

01/19/2026

U$MLE 🇺🇸 $TEP 2CK :
THE CAUSE OF THIS PATIENT’S SADDLE NOSE 👃 DEFORMITY & KIDNEY MASS ?

Q : A 39 year old woman 👵 presents at the emergency with epistaxis, tracheal stenosis, and hypertension. She reports a 22-Ib weight loss over the past 4 months.
On physical examination she is noted to have a nasal bridge tenderness and a saddle nose 👃 deformity.
Urinalysis shows traces of proteinuria only, with no red blood 🩸 cells. Blood 🩸 work reveals a normal creatinine level, and positive C-ANCA. An abnormality on the abdominal CT prompts a renal biopsy, with the abnormal renal pathology as shown in the image below.

What Is the primary treatment for this condition?

[A] Chemotherapy
[B] Levofloxacin and Percutaneous drainage
[C] Radical Nepthrectomy
[D] Corticosteroids and Cyclophosphamide
[E] Immunoglobulins

::::::::::::::::::::::::::::::::::::::::::::::::::::::::::::::::::::::::::::::::::::