RENAL CASES
ByDr. Athal Humo
2016-2017
Q1/ 7 years od female, presented to EU with dark colored urine in last 2 days with oedema around the eye, examination reveal increase blood pressure. There is postive history of pharyngitis 2 weeks ago.
Lab:
GUE: hazy dark, blood +++, RBC cast +, protein 250 mg/dl, glucose –ve, bile –ve.
• What is the most likely diagnosis?
• What others investigations needed ?
• What is the treatment?
• What are the complication?
• Comment on the prognosis.
Q2/ Elevated levels of cholesterol and triglycerides found in a 6-year-old boy whose mother reports that he has been awakening with puffy eyes each morning. On your physical examination you determine that he has had unexpected weight gain and has scrotal edema.
• What is the most likely diagnosis?
• What are the investigations that need to support your diagnosis?
• Describe the treatment.
Q3/ A 4-year-old boy has recently developed diarrhea, that contained blood. His mother reports that in the past 24 hours he developed pallor and lethargy; she also notes that his face looks swollen and that he has been urinating very little. Laboratory evaluation reveals a hematocrit of 28% and a platelet count of 72,000/μL. He has blood and protein in the urine. Which of the following diagnoses is most likely to explain these symptoms?
Q4/ A 7-year-old boy has cramping abdominal pain and a rash mainly on the back of his legs and buttocks as well as on the extensor surfaces of his
forearms. Laboratory analysis reveals proteinuria and microhematuria.
• What is the diagnosis?
• What are the investigation ?
• What is the treatment?
