Rapidly progressive glomerulonephritis Quiz: Ace Your Exams

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A 9-year-old girl is brought to the office because of facial puffiness. Her parent states that the patient has been easily fatigued and has had red-colored urine for the past several days. Past medical history is significant for a throat infection 3 weeks ago that was treated with amoxicillin. Temperature is 37.0°C (98.6°F), pulse is 80/min, respirations are 20/min, and blood pressure is 150/95 mmHg. Physical examination shows periorbital edema and 2+ pitting edema along the ankles bilaterally. Blood urea nitrogen is 30 mg/dL, and serum creatinine is 1.6 mg/dL. Which of the following sets of findings will most likely be seen on urinalysis in this patient?

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A table shows urine test results: protein +1, dysmorphic red blood cells present, red blood cell casts, and erythrocytes in cells column.

A table with columns: Protein (+3), Dysmorphic red blood cells (Absent), Casts (Fatty casts), and Cells (Epithelial cells with oval fat bodies).

A table with 4 columns: Protein, Dysmorphic red blood cells, Casts, Cells. Row data shows Absent, Absent, Hyaline casts, None.

A table lists urine test results: Protein Absent, Dysmorphic red blood cells Absent, Granular casts, and Tubular epithelial cells.

A table with 4 columns: Protein, Dysmorphic red blood cells, Casts, Cells. Row data: Absent, Absent, White blood cell casts, Eosinophils.