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37 year old women with chronic hep B develops low grade fever. Temp is 99.4, pulse 78, respirations are 14 and BP is 118/68. Physical exam reveals generalized petechial rash. Urinalysis shows 4 + protein, 1 + blood, 2+ bilirubin; fat globules and casts are present on microscopy. Examinations of tissue obtained on needle biopsy of the kidney shows presenceof irregular deposits of antigen antibody complexes with underlying areas of neutrophilic infiltration and tubular damage. 1. What is the most importnat mechnism by which these immun complexes are removed from the bloodstream?

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The General Principles section of the USMLE covers these topics:
Biochemistry
Genetics
Microbiology
Pathology
Pharmacology


1. 37 year old women with chronic hep B develops low grade fever. Temp is 99.4, pulse 78, respirations are 14 and BP is 118/68. Physical exam reveals generalized petechial rash. Urinalysis shows 4 + protein, 1 + blood, 2+ bilirubin; fat globules and casts are present on microscopy. Examinations of tissue obtained on needle biopsy of the kidney shows presenceof irregular deposits of antigen antibody complexes with underlying areas of neutrophilic infiltration and tubular damage. 1. What is the most importnat mechnism by which these immun complexes are removed from the bloodstream?





 
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