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A 47-Year-Old Man Is Treated for Bacterial Sinusitis with Ampicillin

question 747

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A 47-year-old man is treated for bacterial sinusitis with ampicillin.  A week later he comes to the emergency department with fever and a skin rash.  He also reports low urine output.  Temperature is 37.5 C (99.5 F) , blood pressure is 123/71 mm Hg, and pulse is 88/min.  Physical examination shows a diffuse maculopapular rash.  Serum creatinine level is 2.4 mg/dL, and urine sediment microscopy reveals 3-4 red blood cells/hpf, 5-10 white blood cells/hpf, and 3-5 eosinophils/hpf.  The pathologic process affecting this patient's kidneys most likely involves which of the following structures?

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Definitions:

Freehold Estates

A type of ownership of real property that grants the holder complete control for an unlimited period.

Uncertain Duration

Describes a time period whose end point is not predetermined or known, often applying to contracts or agreements.

Ownership Interests

The legal rights and claims an individual or entity has over a property or business.

Partition

The division of real property among co-owners so that each owns a specific portion of the property, or the sale of such property and division of proceeds among co-owners.

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