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Retired NBME 16 Answers

nbme16/Block 4/Question#25 (reveal difficulty score)
A 20-year-old woman is found to have a blood ...
Chronic pyelonephritis ๐Ÿ” / ๐Ÿ“บ / ๐ŸŒณ / ๐Ÿ“–
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submitted by โˆ—soccerfan23(7)
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scarred blunted calyx = chronic pyelonephritis

According to FA: "The result of recurrent or inadequately treated episodes of acute pyelonephritis. Typically requires predisposition to infection such as vesicoureteral reflux or chronically obstructing kidney stones. Coarse, asymmetric corticomedullary scarring, blunted calyx. Tubules can contain eosinophilic casts resembling thyroid tissue (thyroidization of kidney)"

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