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Review Question - QID 212334

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QID 212334 (Type "212334" in App Search)
A 65-year-old man presents to the clinic for fatigue and malaise for the past 2 weeks. His past medical history is significant for hypertension controlled with lisinopril and hydrochlorothiazide. The patient complains of increasing abdominal pain and decreased bowel movements for the past 3 weeks. Urine dipstick demonstrates 4+ protein. An abdominal ultrasound shows bilaterally enlarged kidneys. A radiographic study of his skull is shown in Figure A.

Urinalysis:
Color: Yellow
Specific gravity: 1.010
pH: 7.0
Epithelial cells: 3-4
Blood: Negative
Protein: 3+
Glucose: Negative
Bacteria: Absent
Leukocyte esterase: Absent
Nitrite: Absent

What histopathological findings of the kidneys would you expect to find?
  • A
  • A