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Pathology
A 12-year-old boy complains of swelling of his feet for the past 3 weeks. He is otherwise healthy, with no known previous illness. Vital signs are normal. Physical examination reveals pitting edema of the lower legs and a swollen abdomen. Urinalysis shows 4+ protein but no RBCs or WBCs. Which of the following are the most likely diagnoses to consider in your evaluation of this patient?
Henoch-Schonlein purpura, lupus nephritis
Malignant hypertension, renal vein thrombosis
Minimal change disease, focal segmental glomerulosclerosis
Pyelonephritis, acute tubular necrosis
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