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Exam questionKROK 2Medicine ยท 2023

A 3-year-old boy has been hospitalized with severe edemas. Objectively, the boy is pale, his blood pressure is 90/60 mm Hg, he has oliguria. General urinalysis shows the following: color- yellow, specific gravity 1020, protein levels-3.5 g / L, erythrocytes leached,4-5 in the vision field, leukocytes 2-3 in the vision field, 24-hour proteinuria 6.6 g. The cholesterol levels are 9.8 mmol/L. What next step in the patient's management would be optimal?

Answer options

  1. Nechiporenko urine test
  2. Monitoring throughout the next week
  3. Zimnitsky test
  4. Computed tomography without contrast
  5. Kidney biopsy
Correct answer

Kidney biopsy

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