Summary of Membranous glomerulonephritis
Flashcards on Membranous glomerulonephritis
Questions on Membranous glomerulonephritis
A 36-year-old man comes to the clinic because of progressive swelling in all of his limbs for the past month. He initially thought that he had been consuming too many salty foods, but the swelling has worsened despite restricting sodium in his diet. His current medications include ibuprofen for chronic back pain. His temperature is 37.0°C (98.6°F), pulse is 83/min, respirations are 16/min, and blood pressure is 138/86 mm Hg. Physical examination shows a palpable liver edge 2cm below the right costal margin and anasarca. Laboratory blood studies are positive for the presence HBsAg and negative for Anti-HBsAg. Urinalysis shows 4+ protein and a follow-up 24-hour urine collection shows a loss of 4.1g of protein. A kidney biopsy is performed and shows thickened capillaries and glomerular basement membrane on light microscopy with subepithelial deposits seen on electron microscopy. Which of the following is the most likely diagnosis?
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