10-05-2007, 11:47 AM
A 65-year-old man develops oliguria and peripheral edema over a period of weeks. Urinalysis reveals
hematuria
and proteinuria; examination of the urinary sediment reveals red cell casts. Radiologic and ultrasound
studies fail
to demonstrate an obstructive lesion. Renal biopsy shows many glomerular crescents. This
presentation is most
suggestive of which of the following conditions?
A. Anti-glomerular basement membrane disease
B. Diabetic nephropathy
C. Hypertensive nephropathy
D. Lupus nephritis
E. Minimal change disease
hematuria
and proteinuria; examination of the urinary sediment reveals red cell casts. Radiologic and ultrasound
studies fail
to demonstrate an obstructive lesion. Renal biopsy shows many glomerular crescents. This
presentation is most
suggestive of which of the following conditions?
A. Anti-glomerular basement membrane disease
B. Diabetic nephropathy
C. Hypertensive nephropathy
D. Lupus nephritis
E. Minimal change disease