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Subjects/Pediatrics/AIIMS 2019
AIIMS 2019
medium
smile Pediatrics

A 5 year child is brought with brown coloured urine and oliguria since 3 days with mild facial puffiness and pedal edema with 3+ proteinuria, BP 126/90. Urine examination shows RBCs 100/hpf and granular casts. Which of the following doesn't present with this finding?

A. Minimal change disease
B. Membranous glomerulonephritis
C. FSGS
D. IgA nephropathy

Explanation

Glomerular Syndromes Nephrotic Syndrome Nephritic Syndrome Urinary albumin >3.0 - 3.5 gm/24 hours Hematuria/RBC casts Hypoalbuminemia Oliguria Edema Hypeension Hyperlipidemia Decreased GFR Lipiduria Proteinuria +/- Causes SGN (HIV), MGN (SLE, Hep B, Cancer - solid tumors), Mi minimal (children), MPGN (HepC)F Others : DM, Malignancy, vasculitis, amyloidosis Focal glomerulonephritis -IgA nephropathy - Focal SLE (Type III) Diffuse glomerulonephritis - Post infectious - Diffuse SLE (Type IV) IgA nephropathy: Most common presentation asymptomatic microhematuria with mild proteinuria

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