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57744 Medicine

A32-year old African-American male presents with recurrent edema of the feet and periorbital swelling. He has a history of high risk sexual behavior. The blood pressure was 110/85 mm Hg. Results of the laboratory investigations are as follows : HBs Ag : Negative Blood glucose : Normal HIV ELISA : Positive 24-hour urine protein : 3.9 g Urine microscopy : Fatty casts, oval fat bodies. An H and E stain of the renal biopsy is most likely toshow-

ASegmental sclerosis of some of the glomeruli
BDiffuse thickening of the glomerular basement membrane
CHypercellular glomeruli with thickening of the GBM
DProliferation of the parietal cells filling of the Bowman's space
Medicine
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