Complaints of progressive shortness of breath

Reference no: EM133601559

Question

A 19-year-old woman presented to the hospital with complaints of progressive shortness of breath, chest pain, and lower extremity edema over the past month. Additional complaints included alopecia, oral ulcers, and bilateral knee arthralgia. Significant findings on examination included elevated blood pressure (150/90 mmHg), malar rash, and diffuse anasarca. Her initial laboratory values were notable for hemoglobin of 9.0 g/dL, platelet count 116,000/μL, and serum creatinine 2.68 mg/dL with 3+ protein and 3+ hemoglobin on urinalysis.

Reference no: EM133601559

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