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Exam questionKROK 2Medicine · 2021

A 20-year-old man suffers from headache, general weakness, and face edema that appears in the morning 18 days carlier 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. Systemic lupus erythematosus
  3. Renal amyloidosis
  4. Urolithiasis
  5. Acute glomerulonephritis
Correct answer

Acute glomerulonephritis

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