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A 14-year-old girl develops a rash, abdominal pain, and arthralgias. She is also experiencing some nausea, vomiting, and crampy abdominal pain. On examination, she has a palpable purpuric rash on her buttocks and lower legs, a tender abdomen, and no active joint inflammation. Her stools test positive for blood, and urinalysis reveals RBCs and RBC casts. Her renal function deteriorates rapidly over several days. A renal biopsy is performed.For the above patient with GN, select the most likely diagnosis on renal biopsy.

Adiffuse proliferative GN
Bcrescentic GN
Cfocal proliferative GN
Dmembranoproliferative GN
Medicine
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