A 12 yrs female child having c/o swelling in all face And her reports are  as shown below What's Dx & Rx..


Bilateral mumps D/D allergic swelling. Pheniramine maleate BD. aceclofenac Paracetamol saeropeptidase SOS. pantaprazole OD. multivitamins OD. Acyclovir 400 5 times a day for 5 days. cold sponging. Rest .

usually oedematic face in renal disease thyroid or anemic heart problems but she complain abd pain than test usg to ruleout kidney problem or worm infestation in worm infestation pt become anemic oedematous face take albendoz or meftallforte iron supplement renal disorder treat that one

nephritis to be rule out

Nephrotic syndrome, advised KFT.

needs more history

is their fever pain...give detail

There is no h/o fever & pain, only swelling and mild abdominal pain

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1.do cbc &kft . 2.start iron supplement to child and advice about diet

?? Nephrotic syndrome R/0 KFT TFT HB

s.sodium,potasium should be check.and also look for protein deficiency.

CBC,kft investigation should be done

rft ,s.protein ,24hrs urinary proteins. to ruleout reanl cause . Hb looks in nomal range. though not clear.

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