Assignment task:
A 10-year-old Hispanic girl presents to the ED with fresh blood upon wiping after urination.? She says this began 2 days ago and has gotten worse, occurring after every episode of urination during the day.? Her vitals are as follows: Temperature 98 °F [36.6 °C], blood pressure 120/90 mmHg, pulse is 120/min, and respirations are 12/min.? The mother states the child has a sore throat above 5 days ago but recovered.? However, she still is not as playful or active as usual.? A urinalysis is ordered which shows significant to red blood cells casts.? WBC count is 11,000 cells per microliter (normal), and complement levels are normal.? The kid has palpable purpura over the legs. What would be observed under electron microscopy?
A- subepithelial IgG deposits
B- podocyte foot effacement
C-normal glomerulus
D- sup endothelial IgG deposits
E- mesangial immunoglobulin IgA deposition