What renal pathology is likely associated with hypertension, oliguria, and hematuria?

Prepare for the USMLE Step 2 CK with our high-yield test. Practice with flashcards and multiple-choice questions, each offering hints and thorough explanations. Ace your exam confidently!

Hypertension, oliguria (reduced urine output), and hematuria (presence of blood in urine) are classic findings associated with nephritic syndrome. This condition arises from inflammation of the glomeruli, which can occur due to various etiologies such as post-infectious glomerulonephritis or autoimmune disorders.

In nephritic syndrome, the glomerular injury leads to a reduction in the kidney's ability to filter blood effectively, resulting in oliguria. The inflammation can also cause increased blood pressure due to fluid overload and activation of the renin-angiotensin-aldosterone system. Hematuria occurs because the inflammation disrupts the integrity of the glomerular capillaries, allowing red blood cells to leak into the urine.

Chronic kidney disease typically presents with a different symptom spectrum, and while hypertension can be present, oliguria is not a characteristic feature until late in the disease course. Acute tubular necrosis usually leads to oliguria but does not inherently cause hematuria or significant hypertension. Nephrolithiasis (kidney stones) may cause hematuria and, in some cases, increased blood pressure due to pain or obstruction but does not typically present with oliguria unless there is significant obstruction or

Subscribe

Get the latest from Examzify

You can unsubscribe at any time. Read our privacy policy