A 10-year-old boy presents with cola-colored urine and bilateral periorbital edema 2 weeks after streptococcal pharyngitis. Vital signs show BP 148/92 mmHg, HR 88 bpm, RR 18, temp 37°C, SpO2 98%. Urinalysis reveals RBC casts, mild proteinuria (1+), and dysmorphic RBCs. Serum creatinine is 0.9 mg/dL. Throat culture is negative. Which renal syndrome best explains these findings?
- A)Nephrotic syndrome
- B)Chronic pyelonephritis
- C)Nephritic syndromeGABARITO
- D)Acute tubular necrosis
- E)Prerenal azotemia
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 →