Exam questionKROK 2Medicine ยท 2020
A 20-year-old man suffers from headache, general weakness, and face edema that appears in the morning. 18 days earlier he had a case of tonsillitis. Objectively, his skin is pale, there are edema under his eyes. Heart rate is 60/min., blood pressure is 185/100 mm Hg. The sign of costovertebral angle tenderness (punch sign in the lumbar region) is negative. Urinalysis: color of "meat slops": protein - 4.5 g/L, altered erythrocytes - 40-45 in the vision field, leukocytes - 5-6 in the vision field. 24-hour diuresis is 400 mL. What is the most likely diagnosis?
Answer options
- Acute pyelonephritis
- Acute glomerulonephritis
- Systemic lupus erythematosus
- Urolithiasis
- Renal amyloidosis
Correct answer
Acute glomerulonephritis
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