Hematuria – Medical Question

A 33-year-old woman who recently emigrated from Germany comes to the physician due to hematuria. Her history is significant for frequent headaches. They occur almost every day, and she tried various analgesics to relieve them. Evaluation did not reveal the cause of her headaches. Her family history is significant for hypertension and diabetes mellitus. She does not use tobacco, alcohol or drugs. Her blood pressure is 125/75 mmHg and heart rate is 82/min. Physical examination shows no abnormalities. Urinalysis shows numerous unchanged RBCs. Which of the following is the most likely cause of this patient’s condition?

A) Malignancy
B) Glomerular injury
C) Nephrolithiasis
D) Papillary necrosis
E) Infection
F) Endometrial carcinoma

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