QuestionSBA
QuestionChoice
Nephrotic syndrome is a triad of proteinuria (> 3g/24hr) causing hypoalbuminaemia (< 30g/L) and oedema. These are all likely to be present here and this man has diabetes making diabetic nephropathy a highly likely cause of his syndrome.
10005476
a
Diabetic nephropathy
QuestionChoice
IgA nephropathy is a type of nephritic syndrome. Nephritic syndrome is a condition involving haematuria, mild to moderate proteinuria (typically less than 3.5g/L/day), hypertension, oliguria and red cell casts in the urine. Haematuria and oliguria are not mentioned here and this man's blood pressure is not significantly raised making this a less likely diagnosis. He more likely has a nephrotic syndrome, of which diabetic nephropathy is the only choice.
10005480
e
IgA nephropathy
QuestionChoice
Post-streptococcal glomerulonephritis is a type of nephritic syndrome. Nephritic syndrome is a condition involving haematuria, mild to moderate proteinuria (typically less than 3.5g/L/day), hypertension, oliguria and red cell casts in the urine. Haematuria and oliguria are not mentioned here and this man's blood pressure is not significantly raised making this a less likely diagnosis. He more likely has a nephrotic syndrome, of which diabetic nephropathy is the only choice.
10005477
b
Post-streptococcal glomerulonephritis
QuestionChoice
Alport's syndrome is a type of nephritic syndrome. Nephritic syndrome is a condition involving haematuria, mild to moderate proteinuria (typically less than 3.5g/L/day), hypertension, oliguria and red cell casts in the urine. Haematuria and oliguria are not mentioned here and this man's blood pressure is not significantly raised making this a less likely diagnosis. He more likely has a nephrotic syndrome, of which diabetic nephropathy is the only choice.
10005479
d
Alports syndrome
QuestionChoice
Rapidly progressive glomerulonephritis is a type of nephritic syndrome. Nephritic syndrome is a condition involving haematuria, mild to moderate proteinuria (typically less than 3.5g/L/day), hypertension, oliguria and red cell casts in the urine. Haematuria and oliguria are not mentioned here and this man's blood pressure is not significantly raised making this a less likely diagnosis. He more likely has a nephrotic syndrome, of which diabetic nephropathy is the only choice.
10005478
c
Rapidly progressive glomerulonephritis
Concept
Chapter
2693
4060
Nephrotic Syndrome
Topic
142
Nephrology
13642
A 47-year-old male attends the acute medical unit following a referral from his GP. He presents with complaints of bilateral generalised oedema of his legs and foamy urine. He has a past medical history significant for T2DM. His BP is 145/98mmHg and his urine dip reveals +++ protein. His biochemistry results are all normal apart from low albumin levels.

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