USMLE step 2 Mcq 177:Following an American football training session a player experienced an acute left flank pain

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Question:
Following an American football training session a player experienced an acute left flank pain that lasted 4 to 5 hours and was accompanied by macroscopic hematuria and marked tenderness in the left costovertebral angle. A large mass was palpable in the left loin. Investigation demonstrated proteinuria and a rapid deterioration in renal function. An intravenous pyelogram was obtained, and it showed marked enlargement of the left kidney with poor visualization of pelvocalyceal system. The most likely diagnosis is

a) polycystic disease of the kidneys
b) Berger's nephritis
c) systemic lupus erythematosus
d) renal vein thrombosis
e) Goodpasture's syndrome


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