thaisbotelho
Forum Junior
Topics: 21
Posts: 58
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6.) A 5-year-old boy is brought to the physician 1 hour after
urinating bright red blood. He has been taking ibuprofen since injuring his
right flank while wrestling with friends yesterday; he also has been
taking penicillin for 3 days for streptococcal pharyngitis. His
temperature is 36.7 C (98 F), blood pressure is 90/48mm Hg, pulse is 108/min,
and respirations are 18/min. Examination shows purple ecchymoses over
the shins and right flank; there is tenderness of the right
costovertebral area. The abdomen is nontender. Genital examination shows no
abnormalities. There is no edema. Urinalysis shows gross blood;
microscopic examination shows 5–10 leukocytes/hpf and erythrocytes that
are too numerous to count. Which of the following is the most likely
explanation for this patient's hematuria?
A) Acute pyelonephritis
B) Ibuprofen-induced acute papillary necrosis
C) Post-streptococcal glomerulonephritis
D) Rhabdomyolysis
E) Traumatic injury to the kidney
It can be E?
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| nightflight1945
banned
Topics: 32
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E) Traumatic injury to the kidney is the most probable.
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| Eagle_303
Forum Guru
Topics: 77
Posts: 655
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) Acute pyelonephritis (there should WBC casts + Fever )
B) Ibuprofen-induced acute papillary necrosis (Not possible with such a short duration of NSAIDS ,secondly it mainly associated with aspirine and phenacetin)
C) Post-streptococcal glomerulonephritis (RBC casts ,2-3 weeks after sore throat)
D) Rhabdomyolysis (Urine red but No RBCs or RBC casts )
E) Traumatic injury to the kidney (Only Choice left )
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| thaisbotelho
Forum Junior
Topics: 21
Posts: 58
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Awsome guys!
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