1.

A-13-year old boy is referred for evaluation of nocturnal enuresis and short stature.His blood pressure is normal.The hemoglobin level is 8 g/dl,urea 112 mg/dl,creatinine 6 mg/dl,sodium 119 mEq/dl,potassium 4 mEq/l,calcium 7 mg/dl,phosphate 6 mg/dl and alkaline phosphatase 300 U/l.Urinalysis shows trace proteinuria with hyaline casts;no red and white cells are seen.Ultrasound shows bilateral small kidneys and the micturating cystourethrogram is normal.The most likely diagnosis is:

A. Alport's syndrome
B. Medullary sponge kidney
C. Chronic glomerulonephritis
D. Nephronophthisis
Answer» E.


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