Question

A young man presents with the following urinary findings: pH 6, protein 2g/24hrs, >300 RBC/HPF, 5-8 WBC/HPF, 3-6 RBC casts/LPF, 3-7 granular casts/LPF. These finding suggests which of the following disease states?

nephritic syndrome
		pyelonephritis
		acute glomerulonephritis
		injury to the lower urinary tract

Answer 1

Most appropriate answer among these options is acute glomerulonephritis, as it's only condition, in which inflammation of glomerulus of nephron is present, which can cause loss of protein, WBC & RBC as well, also there occurs formation of RBC or granular cast in it,

Finding is very closely related to nephritic syndrome as acute gn is a part of nephritic syndrome as well, but htn and edema as not mentioned, doesn't indicate nephritic syndrome

WBC range in urine is high in pyelonephritis

Best declaration of answer can be done after, clinical history or urine culture report