01-29-2008, 02:17 PM
A 20-year-old woman presents to her primary care physician with mild pedal edema. Her past medical history is significant for chronic vesicoureteral reflux and recurrent urinary tract infections. On physical examination, the patient is in no distress. Vital signs include a blood pressure of 135/85 mm Hg, heart rate of 70 bpm, and temperature of 98.5°F. Cardiopulmonary examination is normal with the exception of very mild pedal edema. Laboratory evaluation reveals a serum creatinine level of 1.9 mg/dL. Urinalysis reveals 4+ proteinuria and 1+ hematuria. Urine microscopy reveals granular casts with a few red blood cells. What is the most likely cause of this patient™s renal disease?
1. Focal segmental glomerulosclerosis
2. Membranoproliferative glomerulonephritis
3. Membranous glomerulopathy
4. Minimal change disease
1. Focal segmental glomerulosclerosis
2. Membranoproliferative glomerulonephritis
3. Membranous glomerulopathy
4. Minimal change disease