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question 37 (mandatory) (1 point)
one month ago, a 10 - year - old girl was diagnosed with group a streptococcus. today she is feeling weak and has no appetite. physical exam reveals pallor, high blood pressure and periorbital edema. her current lab work indicates protein in his urine. what is the most likely diagnosis?
a) renal infection
b) liver infection
c) nephrotic syndrome
d) type 1 diabetes
e) glomerulonephritis
Group A streptococcus can lead to post - streptococcal glomerulonephritis. Symptoms such as proteinuria (protein in urine), periorbital edema (swelling around the eyes), pallor (pale appearance), and high blood pressure are characteristic of glomerulonephritis. Renal infection (a) would more likely present with symptoms like dysuria (painful urination), frequency. Liver infection (b) would have symptoms related to liver function (e.g., jaundice, abnormal liver enzymes). Nephrotic syndrome (c) is mainly characterized by massive proteinuria, hypoalbuminemia, and edema but the association with recent streptococcal infection points more to glomerulonephritis. Type 1 diabetes (d) has symptoms like polyuria (excessive urination), polydipsia (excessive thirst), and polyphagia (excessive hunger) which are not described here.
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e) Glomerulonephritis