A 5-year-old boy is seen by a pediatrician for the third case of pneumonia he ha

Question

A 5-year-old boy is seen by a pediatrician for the third case of pneumonia he has during a 3-month period. Physical examination shows moderate to server swelling of ankles and face. Pertinent laboratory data are shown in case study table 6.

1. What is the diagnosis?
2. What, if any, relationship is there between the recurrent pneumonias and the renal disease?
3. Does this child also have a familial hyperlipidemia?
4. Does this child have azotemia?
5. how can the creatinine clearance be decreased when serum urea and creatinine concentrations are within normal range?
6. will this patient eventually require renal dialysis?

amination shows moderate to severe swelling of the ank e shown in Case Study Table # 6. | Laboratory Results-Table # 6 Spot Urine Protein 24-hr Urine Protein Serum Albumin Serum Cholesterol Serum Urea Nitrogen ("BUN") 11 mg/d Serum Creatinine Creatinine Clearance 4 + by dipstick 8 g/24 hr 1.4 mg/dl 285 mg/dl 1.1 mg/dl 63 ml/min diagnosis?

Explanation / Answer

1. protein urea with high creatine is the case of cardio vascular disease

2.yes there is relationship.pneumonia can end up in CKD,COPD,CVDetc

3 Yes ,there is no chance get hyper lipidemia

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