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Exam questionKROK 2Medicine ยท 2024

A 20-year-old man complains of headache, general weakness, and face edema that appears in the morning. Eighteen days earlier he had a case of acute pharyngitis. Objectively, his skin is pale, edema is observed under his eyes. Heart rate - 60/min, blood pressure - 185/100 mm Hg. The sign of costovertebral angle tenderness (percussion test in the lumbar region) is negative on both sides. Urinalysis shows the following color - dirty-red, protein - 4.5 L, altered erythrocytes 40-45 in sight, leukocytes - 5-6 in sight. 24-hour diuresis is 400 mL. What is the most likely diagnosis in this case?

Answer options

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

Acute glomerulonephritis

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