love your rationale! thank you, will see if we can check these out
#AK_Step2_v12::#UWorld::4591
#AK_Step3_v12::#UWorld::5309
Step 1. 1577
- QID 1577 is about nephrotic and should not be tagged here
- QID 4591 is about glomerulonephritis and discusses anasarca (generalized edema), does specifically mention periorbital as well
- QID 5309 mentions facial puffiness and LE edema
I am impartial because I suggested this in October 2023. Still believe it is true!
I was curious enough to go back and look at your suggestion… so glad I did 
“For some reason, this is the hill I have chosen to die on…”
Looks like the hill has a few more dying defenders
In my AMBOSS Renal block I’m doing now, PSGN (nephritic) and MCD (nephrotic) have both been correct answers to clinical presentations involving periorbital edema as the major physical exam finding. In both question stems, the HPI made it obvious which renal syndrome was being asked about (hx skin infection for PSGN, child with severe proteinuria for MCD). I stand by my statement that PSGN seems to be the only nephritic syndrome associated with periorbital edema that I’ve come across. Some primary sources just vaguely say “edema” in the clinical features of PSGN and nephritic syndrome. I’d also be ok with a note in the Extra saying “nephrotic syndrome is also associated with periorbital edema” or “PSGN specifically is associated with periorbital edema” or just remove the specifier and ask about edema. Or whatever y’all think is best.
Think card is straight from Pathoma and current Pathoma text still includes this. I think if we do decide to change this it’s worth an explanation as to why in Extra.
That said, if we are still seeing it described with some cases of nephritic on question stems it’s worth keeping here. Thinking a note in Extra saying it is also seen w/ nephrotic like suggested above may be a better move as typically there will be a ton of other details in those questions pointing you either way.
Agree with CTE, we can just add to extra
- Note that nephrotic syndrome can also present with periorbital edema
Agreewith CTE
Made updates per discussion/voting above