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Exam questionKROK 2Medicine ยท 2015

2 weeks after recovering from tonsillitis an 8-year-old boy developed edemas of face and lower limbs. Objectively: the patient is in grave condition, BP -120/80 mm Hg. Urine is of dark brown colour. Oliguria is present. On urine analysis: specific gravity - 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 (large quantity). What is the most likely diagnosis?

Answer options

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

Acute glomerulonephritis with nephritic syndrome

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