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Author18 Posts
  #1

In a student laboratory session a male student finds erythrocytes in his urine
this finding is confirmed by the hospital laboratory
he denies any history of renal problems of 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 nephropathy
d.-membranous glomeruolonephritis
e.-poststreptococcal glomerulonephritis





  #2

b.-IgA nephropathy

  #3

agreed B smiling face

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  #4

Cool

because I need you to study

yes

B

  #5

Red Blood cast is seem in post streptococcal glomerulonephritis ...

BUt for post strepto there should be high antistreptolycin O titre

?????????????????????????????????????????


  #6

ok

let me check the question stem maybe I made a mistake

  #7

no

  #8

Hard ones !

  #9

Then B is correct

  #10

b

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  #11

yar i think is B but can any 1 explain in detail plz


  #12

y b

  #13

can somebody explain me why is b?

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  #14

the pt presents with NEPHRITIC syndrome. now the most likely cause in a young person wud be postinfectious GN. his ASO titer is low. hence we choose the next most common cause, Ig A nephropathy also called Berger's disease



im not sure but i think c, d and a are more consistent with nephrotic syndrome


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  #15

B

  #16

which is the borderline for the titre to be considered high enough?

  #17

200 units/mL for adults

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  #18

thanks









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