CLINICAL CASE 7 URINARY SYSTEM A 10-year-old male presents with his mother, who
ID: 3479418 • Letter: C
Question
CLINICAL CASE 7 URINARY SYSTEM A 10-year-old male presents with his mother, who appears very anxious. She reports several episodes of red-brown urine this but otherwise has no complaints. At a but his past medical history is otherwise unremarkable. He takes no medications. On review of systems, he reports a sore throat that completely resolved a few days ago. morning. The patient reports feeling a bit tired, ge 5, he had myringotomy tubes placed bilaterally, On exam you find a pleasant young man in no acute distress. He is afebrile. His bloocd pressure is 140/94 mm Hg, and he has trace pretibial edema. The remainder of the exam is unrevealing. Urinalysis shows 2+ blood, 2+ protein, specific gravity 1.015, and numerous red blood cells with red cell casts. BUN is 35 mg/dL and creatinine is 1.8 mg/dL. CBC (Complete Blood Count), coagulation studies, and electrolytes are all normal. Throat culture grows group A beta-hemolytic streptococcus. Questions: 1. What do you think is going on? 2. What is the causative agent of this disorder? 3. Which best describes the usual course of post-streptococcal glomerulonephritis? 4. Which are the signs and symptoms of this disease? ls this case a typical one? 5. What is the mechanism of this disease? 6. What is the course of the disease and compare adult vs. Children.Explanation / Answer
1; The patients is having poststreptococcal glomerulonephritis
2; The causative agent of this disease is nephritogenic strains of group A beta hemolytic streptococci
3; The usual course of post streptococcal glomerulonephritis include
4; Signs and symptoms are as follows
5; Mechanism of this disease