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Browse all exams A 45-year-old woman presents to the clinic with persistent peripheral edema over the past few months. She does not have hypertension or diabetes. Urinalysis shows 4+ protein on dipstick testing. Serum creatinine and serum albumin levels are also elevated. renal biopsy shows thickening of the glomerular capillary walls on light microscopy and subepithelial 'spikes' on electron microscopy. Which of the following is the most likely diagnosis?
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