NBME2-1 q43 - irshad23

[ArchivalUser]

In a student lab session, a male medical student finds erythrocytes in his urine. This finding is confirmed by the hospital laboratory. He denies any history of renal problems or recent illness. Vital signs are within normal limits. Antistreptolysin O titer is less than 1:100. Microscopic examination of urine is unremarkable except for rare red cell casts. There is no proteinuria. The most likely diagnosis is?
A-diabetic glomerulosclerosis
B- IgA nephropathy
C- lupus nephritis
D- membranous glomerulonephritis
E- poststreptococcal glomerulonephritis

Please explain...I'm tired and confused

[ArchivalUser]

B.... Most commno GN - Iga nephropathy .Affects children and adults ,presents with episodic bouts of hematuria (micro or gross),slow progression to CRF ,Goljan RR2nd edition page 409

[ArchivalUser]

ASO titres less than 1:100------streptococcal infection is eliminated----u can eliminate choice EEE

membranous GN -----has nephrOtic syndrome presentation.........so choice d striked off

its no way diabetic....... or lupus

[ArchivalUser]

Ig A NEPHROPATHY --------synpharngitic

versus

PSGN is 2-3 weeks after strep infection

[ArchivalUser]

For Diabetic patient have no symptoms of D.m type one ,For SLE either .

[ArchivalUser]

yeahhh

cheers;;;;;

i dont know how to use smileys: )

[ArchivalUser]

perfect, I thought I was going crazy, I thought it was IgA nephropathy as well, the answer sheet i have said it was lupus, but I prolly did not get the most up to date one.

thanks guys!