HY USMLE Q #1046 – Renal

A 76-year-old woman is brought to the physician by her adult daughter after she was found beside a staircase in her house. She has history of alcohol use. Vitals are stable. Laboratory studies show:

Hemoglobin                                                                14 g/dL
Leukocytes                                                                  6,000/μL
Platelets                                                                       180,000/μL
Urine blood                                                                 2+
Urine protein                                                             Negative
Urine RBCs                                                                 3-4/hpf
Urine WBCs                                                               0-2/hpf

Which of the following is most likely to be seen in this patient?

  Acute tubular necrosis
  Anemia of chronic disease
  BUN/Cr >20
  Hypovolemia
  Subepithelial immune complexes