A 17-year-old boy is brought to the emergency department by his parents with the complaint of coughi

Discussion in 'MRCPCH forum' started by samuel, Sep 21, 2014.

  1. samuel

    samuel New Member

    A 17-year-old boy is brought to the emergency department by his parents with the complaint of coughing up blood. He is stabilized, and his hemoglobin and hematocrit levels are 11 mg/dL and 33%, respectively. During his hospitalization, he is noted to have systolic blood pressure persistently greater than 130 mm Hg and diastolic blood pressure greater than 90 mm Hg. His urinalysis is remarkable for hematuria and proteinuria. You are suspicious the patient has which of the following?
    a. Hemolytic-uremic syndrome
    b. Goodpasture syndrome
    c. Nephrotic syndrome
    d. Poststreptococcal glomerulonephritis
    e. Renal vein thrombosis

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