02-09-2007, 10:20 AM
6. A 4-year-old girl is brought to the emergency department because of a 5-day history of fever, diffuse abdominal pain, nausea, vomiting, and diarrhea. Examination shows petechiae, hepatomegaly, and splenomegaly. Hemoglobin concentration is 8.7 g/dL and platelet count is 60,000/mm3. A peripheral blood smear shows erythrocyte fragmentation. Which of the following renal findings is most likely to be associated with her condition?
A ) Glomerular crescent formation
B ) IgG-associated glomerular basement membrane antibody
C ) Membranoproliferative glomerulonephritis
D ) Narrowing of the capillary wall by fibrin deposition
E ) Periglomerular granuloma with giant cells
A ) Glomerular crescent formation
B ) IgG-associated glomerular basement membrane antibody
C ) Membranoproliferative glomerulonephritis
D ) Narrowing of the capillary wall by fibrin deposition
E ) Periglomerular granuloma with giant cells