QuestionSBA
QuestionChoice
Any patient presenting with haematuria and hypertension should raise suspicion of nephritic syndrome. Patients suffering from Anti-GBM are more likely to present with features of lung disease (e.g., haemoptysis and shortness of breath) in addition to signs of nephritic syndrome. In this case, the fact the patient was suffering from a potential upper respiratory tract infection (URTI) only a few days prior makes this more likely to be IgA nephropathy.
10025597
c
Anti-Glomerular Basement Membrane disease (Anti-GBM)
QuestionChoice
Any patient presenting with haematuria and hypertension should raise suspicion of nephritic syndrome. In this case, the fact the patient was suffering from a potential upper respiratory tract infection (URTI) only a few days prior makes this more likely to be IgA nephropathy. Post-infectious glomerulonephritis tends to manifest 1 - 3 weeks after a streptococcal URTI.
10025596
b
Post-infectious Glomerulonephritis
QuestionChoice
Any patient presenting with haematuria and hypertension should raise suspicion of nephritic syndrome. In this case, the fact the patient was suffering from a potential upper respiratory tract infection only a few days prior makes this more likely to be IgA nephropathy.  The gold-standard method for diagnosis is renal biopsy, although urinalysis and urine cultures are also necessary.
10025595
a
IgA nephropathy
QuestionChoice
Any patient presenting with haematuria and hypertension should raise suspicion of nephritic syndrome. Alport syndrome is a genetic condition, typically presenting with nephritic features alongside hearing loss and eye abnormalities. In this case, there is no evidence of hearing or eye abnormalities. IgA nephropathy is therefore the most likely diagnosis.
10025598
d
Alport syndrome
QuestionChoice
Patients with membranoproliferative glomerulonephritis can present with a mixture of nephritic and nephrotic features, although nephritis features are most common. They typically also suffer from autoimmune conditions or hepatitis C. The patient in this case is otherwise fit and well, making IgA nephropathy the most likely diagnosis.
10025599
e
Membranoproliferative glomerulonephritis
Concept
Chapter
2693
4412
Nephritic syndrome
Topic
142
Nephrology
17517
A 20 year old male presents to his GP complaining of recurrent frank haematuria when passing urine for the past 24 hours. He had a sore throat around three days earlier but denies any other past medical history or relevant family history. Observations are within normal limits, aside from a raised blood pressure of 150/95.

Which of the following is the most likely underlying diagnosis?
a