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Exam questionKROK 2Medicine ยท 2010

2 weeks after recovering from angina an 8-year-old boy developed edemata of face and lower limbs. Objectively: the patient is in grave condition, AP- 120/80 mm Hg. Urine is of dark brown colour. Oliguria is present. On urine analysis: relative density - 1,015, protein - 1,2 g/l, RBCs are leached and cover the whole vision field, granular casts - 1-2 in the vision field, salts are represented by urates (big number). What is the most likely diagnosis?

Answer options

  1. Acute glomerulonephritis with isolated urinary syndrome
  2. Acute glomerulonephritis with nephrotic syndrome
  3. Acute glomerulonephritis with nephrotic syndrome, hematuria and hypertension
  4. Acute glomerulonephritis with nephritic syndrome
  5. Nephrolithiasis
Correct answer

Acute glomerulonephritis with nephritic syndrome

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