طفل عمره ٨ سنوات كان عنده التهاب حلق قبل أسبوعين لم يُعالج. الآن بوله بلون الكولا، وعنده تورم حول العينين، وبول قليل، وصداع. الضغط ١٤٨/٩٦. ما الحالة الأرجح؟

An 8-year-old had an untreated sore throat two weeks ago. Now his urine is cola-coloured, with periorbital swelling, low urine output and headache. BP 148/96. What is the most likely condition?

1. Simple bacterial cystitis
2. Post-streptococcal glomerulonephritis
3. Minimal change nephrotic syndrome
4. A kidney stone with bleeding

Answer: B) Post-streptococcal glomerulonephritis. Weeks after streptococcal throat or skin infection: dark haematuria, oedema, hypertension and oliguria. Treatment is supportive: salt and fluid restriction, antihypertensives, and monitoring weight and urine.