A 36-year-old woman presents with progressive facial puffiness and bilateral ankle edema over 3 weeks. Vital signs: BP 142/88 mmHg, HR 88/min, RR 16/min, temp 37°C, SpO2 98%. Urinalysis reveals heavy proteinuria (4.2 g/day) with oval fat bodies and lipiduria. Serum albumin is 2.1 g/dL. She denies fever or joint pain. Which glomerular syndrome is most consistent with these findings?
- A)Postrenal obstruction
- B)Nephrotic syndromeGABARITO
- C)Acute interstitial nephritis
- D)Rapidly progressive glomerulonephritis
- E)Nephritic syndrome
Explicação
Oval fat bodies are lipid laden tubular epithelial cells seen in nephrotic syndrome because marked proteinuria is accompanied by hyperlipidemia and lipiduria. The edema and heavy protein loss are classic nephrotic features. Ver explicação completa e trilha adaptativa →