Audio Qbank – Q293 – A 32M with blood in his urine

 

A 32-year-old man comes to the physician because of general malaise, rash, and blood in his urine since commencing an antibiotic for a skin infection 4 days ago. His temperature is 100.2 F. Urinalysis shows:

Blood: 3+
Protein: 1+
Leukocytes: 120/hpf (25% eosinophils)

Which of the following is the most likely diagnosis?

Acute tubular necrosis
IgA nephropathy
Interstitial nephritis
Membranous glomerulonephritis
Papillary necrosis

 

Cut-to-the-chase Answer (0:34):