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Paediatric

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Renal System

Question
26 out of 61
 

A 2 yrs old child comes with I year h/o of generalized edema. His B.P. is 107/70mm urine examination shows hyaline cast, proteinuria +++, WBC & RBC are nil. The Likely diagnosis is - (AIIMS Nov 2013)



A Selective proteinuria

B Uremia

C Focal segmental glonurulosclerosil

D Low serum complements level

Ans. A

Selective proteinuria

a. It is a case of nephrotic syndrome due to mirimal change disease (MCD).

b. MCD is the most common cause of nepbrotic syndrome in children*

Microscopic findings of urine in MCD

a. Protenuria

i. Principally albumin (which is a low molecular vteight protein)

ii. High molecular weight Proteins are seen in minimal qmounts.

iii. This type ofproteitturia is known as selcctive pruteinuria-

WBC- Absent

RBC- Absent

hyaline cast - can be seen

b. Focal segmental Glomeruloclerosis can also cause nephrotic syndrome but the urine patients will reveal protein, WBCs and RBC s .

Renal System Flashcard List

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