- An 8-year-old male presented with dark brown urine, facial puffiness, abdominal pain, back pain, and decreased urine output over the past 2 days. Exam found mild periorbital edema and diffuse abdominal tenderness. - Based on the history of a recent sore throat and positive streptococcal infection markers, the most likely diagnosis is poststreptococcal glomerulonephritis (PSGN). - Investigations to consider include a complete blood count, basic metabolic panel, urinalysis with microscopy to look for red or white blood cell casts, and measurement of complement levels C3 and C4.