Question 6 (1 point) Ms. Z, age 45 went to the clinic after noticing her blood p

Question

Question 6 (1 point) Ms. Z, age 45 went to the clinic after noticing her blood pressure has remained elevated over although she has been taking her antihypertensive meds. On assessment, the NP noticed an abdominal mass and gross hematuria. Ms. Z. also complained of flank pain and a history of urinary infections. Ms. Z. stated she was worried because her mother died with a hereditary kidney disease. Based on the information provided, Ms. Z. should be evaluated for which of the following diseases? several weeks Glomerulonephritis O Nephritic syndrome Acute pyelonephritis Polycystic Kidney Disease

Explanation / Answer

* Glomerulunephritis is a chronic disease in which there is an inflammation of the capillaries of the capillaries of the glomeruli. It is generally caused by kidney infection by pathogens . Blood and protein may be detected in the urine sample and if left untreated, it may even lead to kidney failure.

* Nephritic syndrome is a kidney disease which also causes inflammation of the kidneys. The urine analysis shows excess albumin [ hypoalbuminemia ] due to the protein, albumin, moving from the blood to the urine. It is also caused by infection by pathogens. Note: In this syndrome blood is NOT present in the urine sample.

* Acute pyelonephritis is a life threatening disease of the kidneys. It is also caused by bacterial infection of the kidneys. It causes swelling of the kidneys and accompanied by fever, pain in the abdomenor back side, frequent urination and pus or blood in the urine .

* Polycystic kidney disease is an inherited or genetic disorder in which a number of cysts develop within the kidney, These cysts are non-cancerous but they interfere with the normal functioning of the kidneys. The common symptoms are high blood pressure, back or side pain, increased size of the abdomen due to the enlarged kidneys and hematuria [ presence of blood in urine] .

So , based on the symptoms shown by Mrs. Z , the correct answer should be -

Option no. 4- Polycystic kidney disease

  

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