A 10-year-old boy presents with cola-colored urine and periorbital edema 2 weeks after streptococcal pharyngitis. Vital signs show BP 148/92 mmHg (elevated for age), HR 88/min, RR 20/min, temperature 37.2°C, SpO2 98% on room air. Urinalysis demonstrates RBC casts and 1+ proteinuria. Serum creatinine is 1.1 mg/dL (normal for age). He denies recent respiratory symptoms. Which renal syndrome best explains these findings?
- A)Prerenal azotemia
- B)Nephrotic syndrome
- C)Nephritic syndromeGABARITO
- D)Chronic pyelonephritis
- E)Acute tubular necrosis
Explicação
Nephritic syndrome is characterized by hematuria, red blood cell casts, oliguria, hypertension, and mild to moderate proteinuria due to inflammatory glomerular injury. The poststreptococcal timing, cola-colored urine, and RBC casts are classic for an acute nep... Ver explicação completa e trilha adaptativa →