Case Based

Question 1

Young male, recent URTI, brown urine, painless
Diagnosis and bad prognostic signs

Answer 1

IgA nephropathy
male, proteinuria, HTN, smoking

Question 2

Man returns from trip abroad with rash on his torso consisting of flat discoloured areas of skin and small raised bumps and flu-like illness
Diagnosis

Answer 2

HIV seroconversion

Question 3

Young boy, sensorineural deafness, dipstick shows microscopic haematuria
Investigations and diagnosis

Answer 3

renal bisopsy: splitting of lamina densa - basket weave
Alports

Question 4

Young boy, sensorineural deafness, dipstick shows microscopic haematuria
Inheritance pattern and defect

Answer 4

X linked dominant
collagen IV

Question 5

30 year old female, AKI following ACE initiation, urine dip normal
Diagnosis

Answer 5

fibromuscular dysplasia

Question 6

28 year old male urethral discharge, and the swab showed Gram-negative diplococci

diagnosis and management

Answer 6

gonorrhoea
IM ceftriaxone