Nephrotic syndromes Quiz: Ace Your Exams
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A 13-year-old male with a history of non-Hodgkin lymphoma presents to the primary care physician with leg swelling. He states that “My shoes won’t fit anymore, and I feel like I’ve gained weight too.” The patient last received treatment for non-Hodgkin lymphoma 1.5 weeks ago. Temperature is 37.0°C (98.6°F), pulse is 80/min, respirations are 18/min, and blood pressure is 105/64 mmHg. On physical exam he is noted to have bilateral periorbital edema and 2+ pitting edema of the lower extremities. Urinalysis demonstrates 4+ protein and is negative for blood. The patient subsequently undergoes a kidney biopsy. Which of the following findings is most likely to be observed on electron microscopy?
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