04-30-2008, 04:44 AM
A 50-year-old man comes to the physician because of a skin rash, joint pains, malaise and fatigue. He has a history of intravenous drug abuse. His temperature is 37.1C (98.9F), blood pressure is 140/90 mm Hg, pulse is 80/min, and respirations are 14/min. Examination shows palpable purpura and hepatosplenomegaly. Urinalysis shows hematuria, red blood cell casts and proteinuria. The results of the laboratory studies are as follows:
BUN 30 mg/dL
Creatinine 2.0 mg/dL
Serum complement Low
Anti-HCV Positive
Which of the following is the most likely diagnosis?
A)
Alport's syndrome
B)
Acute interstitial nephritis
C)
Acute post infectious glomerulonephritis
D)
Anti-glomerular basement membrane disease
E)
Benign recurrent hematuria
F)
Goodpasture's syndrome
G)
Henoch-Schonlein purpura
H)
Idiopathic anti-GBM antibody mediated glomerulonephritis
I)
IgA nephropathy
J)
Mixed essential cryoglobulinemia
K)
Microscopic polyangiitis
L)
Systemic lupus erythematosus
M)
Thin basement membrane disease
N)
Wegener's granulomatosis
BUN 30 mg/dL
Creatinine 2.0 mg/dL
Serum complement Low
Anti-HCV Positive
Which of the following is the most likely diagnosis?
A)
Alport's syndrome
B)
Acute interstitial nephritis
C)
Acute post infectious glomerulonephritis
D)
Anti-glomerular basement membrane disease
E)
Benign recurrent hematuria
F)
Goodpasture's syndrome
G)
Henoch-Schonlein purpura
H)
Idiopathic anti-GBM antibody mediated glomerulonephritis
I)
IgA nephropathy
J)
Mixed essential cryoglobulinemia
K)
Microscopic polyangiitis
L)
Systemic lupus erythematosus
M)
Thin basement membrane disease
N)
Wegener's granulomatosis