A 43-year-old woman presents with progressive generalized edema and weight gain. Vital signs show BP 138/88 mmHg, HR 88 bpm, RR 16, temperature 37°C, SpO2 98% on room air. Urinalysis reveals 4+ proteinuria without hematuria or casts. Laboratory studies show serum albumin 1.9 g/dL, total cholesterol 380 mg/dL, and serum creatinine 0.9 mg/dL. She denies recent infections or medication use. Which renal syndrome best explains these clinical and laboratory findings?
- A)Nephritic syndrome with active urinary sediment
- B)Renal tubular acidosis
- C)Acute tubular necrosis
- D)Prerenal azotemia
- E)Nephrotic syndrome with heavy protein lossGABARITO
Explicação
Nephrotic syndrome is defined by heavy proteinuria, hypoalbuminemia, edema, and hyperlipidemia. The absence of hematuria and the marked loss of albumin point to a glomerular permeability defect rather than inflammatory nephritic injury. Ver explicação completa e trilha adaptativa →