Question 5 · LEK · Nephrotic and nephritic syndromes

A 70-year-old patient, treated for arterial hypertension for over 30 years, called his family doctor because of lower limb edemas worsening for a week. Physical examination showed increased blood pressure and edemas around ankles. Indicate the least probable cause of those symptoms:

  1. A. hypertensive nephropathy.
  2. B. drug-induced lymphatic edemas.
  3. C. congestive heart failure.
  4. D. nephrotic syndrome in the course of primary amyloidosis.
  5. E. nephrotic syndrome in the course of glomerulonephritis.
Hint

Consider the mechanism of oedema caused by antihypertensive drugs — which compartment and which pressure change are responsible?

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