Nephrology, infectious disease, hematology

Question

Three yr old male child brought by  relatives  with edema over  whole body, lack of interest in playing , decreases ओरल intake since three month
Lab:: Hb 4.,WBC..Total 12000 .N-50,L45,E-2,M-3. Platelets-11000.blood group positive.CRP-1:8dil..Urine-Protein..++++,pus cells1-2/hpf RBC 00/hpf.
Sr total protein..4.4gm/dl.
Sr alb1.8.
Dr globulin 2.6.
HIV _be
BUL 25mg/dl.
Dr cret.6mg /dl.
Widal..s'typhi O.. 1:320
S'typhi H01:80.
Serum vit D3= 9.19ng/ml.
USG ABD....bil renal swelling with mild increase in renal cortical echo,s/o changes of nephritis.minimal ascitic fluid in abd. 
Clinically..... Severe  Anaemia, with gen ana sarca with hypoalbuminia, with ptoteinurea  ....MCNS...minimal lesion nephrotic syndrome.....   Serum cholesterol awaited.
 Case open for clinical discussion and management.
24hr urinary pr is awaited.

Nuzhat Jahan · Answer

Nephrotic syndrome with anemia renal failure with hypovitaminosis D
Renal biopsy  
spot urine protein creatinine ratio 
Management  diuretics 
Packed cell Transfusion 
Albumin transfusion 
Oral steroids

Sampat Kedare · Answer

Platelet ::611000, instead of 11000,reported,pl note.

nephrology, infectious disease, hematology

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1

Thanks madam,Given one pcv 170ml day one. Observing for 24hr urinary Protein, seru cret WNL.

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