Question 26 · LEK · Nephrotic and nephritic syndromes
A 28-year-old patient with no serious medical history presents at family doctor office because of fatigue increasing for the last week, nocturia and edemas of the lower limbs during the day. On physical examination normal blood pressure and edema in the ankle regions are noted. The most probable diagnosis suggested by the described clinical picture is:
- A. erysipelas.
- B. thrombophlebitis of the deep veins.
- C. congestive heart failure.
- D. nephrotic syndrome in the course of amyloidosis.
- E. nephrotic syndrome in the course of glomerulonephritis.
Hint
Young patient, normal blood pressure, symmetrical ankle oedema and nocturia — think renal protein loss and which cause suits his age.
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