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General Medicine General 3a5cc7b4

A 64-year woman with Type II diabetes for 10 years now develops increasing fatigue, dyspnea, and pedal edema. On examination, her blood pressure is 165/90 mm Hg, pulse 90/min, JVP is 4 cm, heart sounds are normal, lungs are clear, and there is 3+ pedal edema. Her urinalysis is positive for 3 gm/L of protein and no casts. Which of the following renal diseases is the most likely diagnosis in this patient?

A
acute glomerulonephritis
B
obstructive uropathy
C
glomerulosclerosis with mesangial thickening
D
renal infarction

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