Question 11 (part 2) · LEK · Nephrotic syndrome
In a 5-year-old, previously healthy boy, eyelid oedemas appeared which were treated for 2 weeks by the GP as allergic oedema. Following the ineffective therapy, the child presented again. On physical examination, the body temperature was 36.5 ° C, heart rate – 90 /min., RR – 90/55 mmHg, face significantly swollen, there was pitting oedema on the back of the feet and lower legs. In the general urine test: protein – 4.5 g / L, SG. 1030. Serum albumin concentration – 10 g / L, cholesterol – 320 mg / dL. What should you suspect?
- A. idiopathic nephrotic syndrome.
- B. acute glomerulonephritis.
- C. acute pyeolonephritis.
- D. renal vein thrombus.
- E. angioedema.
Hint
Combine heavy proteinuria, very low albumin, high cholesterol and oedema without hypertension or haematuria in a preschool boy.
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