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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

  1. Acute pyelonephritis
  2. Acute glomerulonephritis
  3. Systemic lupus erythematosus
  4. Urolithiasis
  5. Renal amyloidosis
Correct answer

Acute glomerulonephritis

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