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34-year-old man complains of pale edema of the face, feet, shins, and lumbar area, elevated blood pressure up to 160/100 mm Hg, and general weakness. He has a clinical history of nonspecific ulcerative colitis. Objectively: pulse – 84/min., rhythmic, blood pressure – 165/100 mm Hg; edemas all over the body; the skin is pale and dry, with low turgor. The kidneys cannot be palpated, on an attempt to palpate them they are painless. Blood test: erythrocytes – 3.0-1012/L, Hb- 100 g/L, erythrocyte sedimentation rate – 50 mm/hour. Urinalysis: proteins 3.5 g/L, erythrocytes – 7-10 in the vision field, leukocytes – 5-6 in the vision field. Daily proteinuria 6 grams. What analysis should be conducted additionally to verify the diagnosis? A. Gingival biopsy for the diagnosis of amyloid disease B. Radioisotopic examination of kidneys C. Urinalysis for Bence-Jones protein D. Renal ultrasound E. Survey and excretory urography with explanation
SCIENCE
HEALTH SCIENCE
NURSING

 
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