You must have javascript enabled to view this website. Please change your browser preferences to enable javascript, and reload this page.
Objectives:
A 10-year-old male presents with his mother, who appears very anxious. She reports several episodes of red-brown urine this morning. The patient reports feeling a bit tired, but otherwise has no complaints. At age 5, he had myringotomy tubes placed bilaterally, but his past medical history is otherwise unremarkable. He takes no medications. On review of systems, he reports a sore throat that completely resolved a few days ago.
On exam you find a pleasant young man in no acute distress. He is afebrile. His blood pressure is 140/94 mm Hg, and he has trace pretibial edema. The remainder of the exam is unrevealing.
Urinalysis shows 2+ blood, 2+ protein, specific gravity 1.015, and numerous red blood cells with red cell casts. BUN is 35 mg/dL and creatinine is 1.8 mg/dL. CBC, coagulation studies, and electrolytes are pending.
CBC, coagulation studies, and electrolytes are all normal. Throat culture grows group A beta-hemolytic streptococcus.