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 Best of Five 174

 

   

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BOF: 174

A 64-year-old male presents with oliguria, peripheral oedema and shortness of breath. He gives a history of intermittent haemoptysis and dyspnoea over several months.  There is no history of significant past illnesses. He smokes about 20 cigarettes a day 

On examination he is oedematous, cyanosed, tachypnoeic and there are widespread inspiratory crackles throughout the lung fields.

Urine:

Proteins ++

Blood  ++

Immunology:

Anti glomerular basement membrane antibody +

In this patient renal biopsy is likely to show:

a)      Membranous glomerulonephritis

b)      Membranoproliferative glomerulonephritis

c)      Focal glomerulosclerosis

d)      Mesangial proliferative glomerulonephritis

e)      Proliferative glomerulonephritis (crescentic glomerulonephritis)

 

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