5 Days Of Gross in Medicine / Internal Medicine — 18yo Man | Nephrology | SMLE Q#18245
SMLE Question #18245
Medicine / Internal Medicine
Nephrology
Objective: OBJ-NEPH-HEMATURIA-01
Last updated: February 2026
An 18-year-old man presents with 5 days of gross hematuria. He denies flank pain, dysuria, urinary urgency, or frequency. Three weeks earlier, he had tonsillitis that resolved. Urinalysis shows hematuria and proteinuria with red blood cell casts, and serum complement C3 is low. What is the most likely diagnosis?
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