**Question:** In case of Post-streptococcal Glomerulonephritis (PSGN) complication commonly seen are all Except

A. Acute glomerulonephritis
B. Renal tubular acidosis
C. Anemia
D. Uremia

**Core Concept:** Post-streptococcal glomerulonephritis (PSGN) is a complication that occurs in some cases of streptococcal infections, particularly streptococcal pharyngitis (strep throat). It is caused by the deposition of immune complexes in the glomeruli, leading to inflammation and damage to the kidneys.

**Why the Correct Answer is Right:** The correct answer, "Anemia", is not a complication associated with PSGN. Anemia is a common complication of chronic kidney disease, often due to decreased erythropoietin production, iron deficiency, and vitamin B12 and folate deficiencies. In PSGN, anemia is not specifically listed as a complication and is not directly related to the renal inflammation caused by streptococcal infection.

**Why Each Wrong Option is Incorrect:**

A. **Acute glomerulonephritis:** This is a correct complication of PSGN, as it directly relates to the inflammation caused by immune complex deposition in the glomeruli.
B. **Renal tubular acidosis:** Although renal tubular dysfunction can occur in PSGN, it is not an exclusive complication.
C. **Uremia:** Uremia is a broader term for kidney failure; while uremia can occur in PSGN, it is not exclusive to this condition.
D. **Uremia:** Similar to option C, uremia is a broader term for kidney failure, and can occur in PSGN but is not exclusive to this condition.

**Clinical Pearl:** The understanding of these complications is essential for diagnosing and managing patients with streptococcal infections. Suspect PSGN in patients with acute renal failure or hematuria following streptococcal infections, and monitor for the complications mentioned above to provide appropriate management and treatment.