Master's Diagnostic medicine

10yr old child develops hematuria after 2days of diarrhoea Blood film shows fragmented RBCs and thrombocytopenia. USG- B/L enlarged kidneys What's the likely diagnosis?

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From history Patient might carry Sickle cell anemia Diarrhoea is trigger factor for sickling Leads to haematuria and enlarge kidney Other haemolytic cause could be Malaria or Dengue Adv: Hb electrophoresis, MP antigen , Dengue

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Rule out hemolytic uremic syndrome,Renal venous thrombosis

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HUS

Hemolytic uremic syndrome
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Pre renal causes with what is called as Pale large kidney. Treat as a case of AKI with standby dialysis availability

Acute nephritis

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