Case Scenario: A child with edema and decreased urine output
A 10 years old child presented to the hospital complaining of swelling of his ankles, abdomen and eyelids for the past 4 days. He also thought that he had gained weight recently. In the morning his legs were less swollen, but his eyes appeared ‘puffy’. He thought that he might be urinating less frequently.
On examination blood pressure was 110/68 mm Hg. There was mild edema of the eyelids. There was pitting edema on the ankles. A chest film was obtained and showed bilateral pleural effusions.
Urine routine examination report revealed:
|pH||6||4.6 – 8.0|
|Specific Gravity||1.050||1.001 – 1.036|
|Serum Urea||6.9||3.9 – 6.7 mmol/L|
|Serum Creatinine||88||53 – 106 mmol/L|
- Explain the sign and symptoms in this patient.
- Describe the biochemical basis of disease.
- What other laboratory tests should be done?
- What is the diagnosis?