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Safe Motherhood initiative (ACOG)

These images are provided by ACOG (American Congress of Obstetricians and Gynecologists)

First Line Management with Hydralazine


 First Line Management with Labetalol

Allergic Interstitial Nephritis

Allergic Interstitial Nephritis

Etiology :

70 % of cases due to adverse effect to medications

Drugs

1.Penicillins
2.Cephalosporins
3.Sulfa drugs
4.Allopurinol
5.Rifampin
6.Quinolones.

it happens from the first dose.As compared to Aminoglycosides take 5-10 days.
Infections (viruses,bacteria or fungi).Most common causes includes

1.Leptospirosis
2.Legionella
3.CMV
4.Rickettsia
5.Streptococci

Autoimmune disease

1.SLE
2.Sjogren syndrome
3.Sarcoidosis
4.Cryoglobulinemia

Dx: 

1.Rash
2.Fever
3.Joint pain
4.Eosinophilia
5.Increased serum IgE

Best initial test-urinalysis

1.Eosinophiluria (Wright or Giemsa stain)
2.Hematuria
3.Proteinuria (<2g hrs="" p="">
Most accurate test

1.Biopsy
2.Rarely performed

Rx
1.Stop the offending agent
2.+/- corticosteroids