A 32-Year-Old Man Is Hospitalized with Multiple Fractures and Internal

A 32-year-old man is hospitalized with multiple fractures and internal bleeding following a motor vehicle collision.  He is successfully resuscitated and taken to the operating room for fixation of a left femoral fracture.  The patient's condition remains stable postoperatively, and he is transferred to the surgical floor.  Blood pressure is 118/68 mm Hg and pulse is 88/min.  He develops oliguria on the second day of hospitalization.  Renal biopsy findings are shown in the image below. If the kidney biopsy were repeated 1 month from now, which of the following would most likely be seen?

A) Diffuse mesangial sclerosis
B) Glomerular epithelial proliferation
C) Scarring and atrophy of the medulla
D) Segmental glomerulosclerosis
E) Tubular re-epithelization

Correct Answer:

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