A 26 year old man complained of a dull ache in her left loin followed a few days later by increased frequency both by day and by night.

Question Number 0478

Question:
A 26 year old man complained of a dull ache in her left loin followed a few days later by increased frequency both by day and by night. He also noted hematuria. Urinalysis revealed a sterile pyuria and albuminuria. The urine was acidic. On examination the physician could palpate a thickened left lower ureter and a nodule in the prostate. A likely diagnosis is

a) renal tuberculosis
b) Alport's syndrome
c) renal calculus
d) chronic interstitial nephritis
e) Henoch Schonlein syndrome


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