Posted: July 24th, 2017

A 6-year-old girl has the sudden onset of swelling of her face, hands, legs, and feet 1 week after a viral upper respiratory tract infection. She is afebrile and normotensive. Laboratory studies show

A 6-year-old girl has the sudden onset of
swelling of her face, hands, legs, and feet 1 week
after a viral upper respiratory tract infection. She
is afebrile and normotensive. Laboratory studies
show:
Serum
Albumin 2.0 g/dL
Urea nitrogen 6.0 mg/dL
Creatinine 0.6 mg/dL
Cholesterol 280 mg/dL
Urine protein 4+; 6.0 g/24 h
Which of the following is the most likely
diagnosis?
(A) Focal glomerulosclerosis
(B) Membranous glomerulonephritis
(C) Membranoproliferative
glomerulonephritis
(D) Minimal change disease
(E) Rapidly progressive glomerulonephritis