60-year-old man comes to the physician due to nausea and abdominal pam He had a coronary ang1ogram and stent placement for chest pain 5 days ago and was discharged home the day alter the procedure His other medal problems include hypertension,
hypercholesterolem1a, penpheral artery disease, and type 2 diabetes meltus Physical examma\Jon shows painless, purple mottling
of the sole of both feel Laboratory results are as follows
Hemoglobin 13.5g/dl
Leukocytes 10,000/μL With 12% eos1oophIls
Blood urea nitrogen 46 mg/dl
Serumcreatinine 30mg/dl
SerumC31evel low
Unnalysis
pH Normal
Protein 1+
Leukocyte esterase Negative
Nitrites Negative
White blood cells 5-10/hpl
Red blood cells 1-2/hpl
Which of the following 1s the most likely cause of this patient’s findings?
- Q A Cholesterol emboli
- QB Contrastnephropathy
- QC Crescent1cglomerulonephritis
- Q D Diabetic nephropathy
- Q E Obs1ructiveuropathy
0 voters