08-31-2009, 01:33 AM
4. A previously healthy 10-year-old boy is brought to the physician because of a rash over his arms and legs for 7 days. His blood pressure is l50./`98 mm Hg. Examination shows
a yellow. crusted. excoriated rash over the upper and lower extremities. The remainder ofthe examination shows no abnormalities. Urinalysis shows 3+ protein. 30-50
RBC.¢¢`hpf. and 5-10 l.l¢'BC.¢¢`hpf. Which ofthe following is the most likely diagnosis?
O A) Acute glomerulonephritis
O B) Henoch-Schonlein purpura
O C) Lupus nephritis
O D) Nephrolithiasis
O E) Renal neoplasm
O F) Urinary tract infection
a yellow. crusted. excoriated rash over the upper and lower extremities. The remainder ofthe examination shows no abnormalities. Urinalysis shows 3+ protein. 30-50
RBC.¢¢`hpf. and 5-10 l.l¢'BC.¢¢`hpf. Which ofthe following is the most likely diagnosis?
O A) Acute glomerulonephritis
O B) Henoch-Schonlein purpura
O C) Lupus nephritis
O D) Nephrolithiasis
O E) Renal neoplasm
O F) Urinary tract infection