5-year-old Girl in Pediatrics — 5yo Child | Pediatric Nephrology | SMLE Q#9987

SMLE Question #9987

Pediatrics Pediatric Nephrology

Objective: OBJ-436

Last updated: February 2026
A 5-year-old girl has 7 days of facial swelling, reduced urine output, and dark urine following a recent upper respiratory infection. One week later, she develops progressive dyspnea and coughing up blood. On examination, she has bilateral inspiratory crackles. Chest X-ray shows diffuse bilateral alveolar opacities. What is the most likely diagnosis?

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