A 4-year-old boy who has been deaf since birth and has bilateral cataracts has been brought to the emergency department by his mother because she noticed blood in the toilet after he last voided
Urinalysis confirms heavy microscopic hematuria as well as proteinuria. What will the health care team's initial differential diagnosis most likely be?
A)
Alport syndrome
B)
Systemic lupus erythematosus glomerulonephritis
C)
Henoch-Schönlein purpura nephritis
D)
Immunoglobulin A nephropathy
Ans:
A
Feedback:
Heavy microscopic hematuria, proteinuria, and sensorineural deafness and eye disorders are characteristic of Alport syndrome. This symptomatology is less characteristic of systemic lupus erythematosus glomerulonephritis, Henoch-Schönlein purpura nephritis, or immunoglobulin A nephropathy.
You might also like to view...
What clinical manifestation(s) is associated with calcium depletion (hypocalcemia)?
a. Nausea, vomiting b. Weakness, fatigue c. Muscle hypotonicity d. Neuromuscular irritability
The nurse is caring for a patient who has had opioid use disorder for several years and now presents with a sexual dysfunction. For which clinical manifestations will the nurse assess the patient? Select all that apply
1. Difficulty with orgasm 2. Difficulty with ejaculation 3. Difficulty maintaining an erection 4. Difficulty becoming sexually aroused 5. Difficulty performing sexually due to pain
What evaluations should be conducted during an older adult female's routine physical examination? (Select all that apply.)
a. Measurement of height and weight b. Blood pressure c. Electrocardiography d. Rectal examination e. Mammography
The nurse is managing care for a group of patients receiving antidysrhythmic medication. Which assessment data will the nurse report to the physician?
1. Depression, irritability, fatigue, and nausea 2. Anorexia, insomnia, confusion, and 11 pitting peripheral edema 3. Low-grade fever, diaphoresis, weakness, and dry mucous membranes 4. Palpitations, chest pain, weakness, and fatigue