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Paediatrics: Child with puffiness


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Paediatrics: Child with puffiness


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siti hajar


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[Front]


1. Renal problem: nephrotic syndrome, nephritic syndrome 2. cardiac problem: heart failure 3. liver problem: hypoalbuminemia 4. Allergic reaction - angioedema
[Back]


3 years old with 1 week history of swollen face and hands. Patients have normal development. The parent was well. 3 causes of facial puffiness?

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21 questions
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1. Renal problem: nephrotic syndrome, nephritic syndrome 2. cardiac problem: heart failure 3. liver problem: hypoalbuminemia 4. Allergic reaction - angioedema
3 years old with 1 week history of swollen face and hands. Patients have normal development. The parent was well. 3 causes of facial puffiness?
Nephrotic syndrome
Patient had history of passing frothy urine. Investigation result given. i. LFT: hypoalbuminemia ii. Urine: proteinuria, no hematuria Most likely diagnosis
Spontaneous peritonitis secondary to nephrotic syndrome
Patient has had one relapse and currently come with complaint of abdominal pain and high grade fever. State provisional diagnosis.
1. FBC 2. Aspirate peritoneal fluid 3. Check urine for proteinuria
Patient has had one relapse and currently come with complaint of abdominal pain and high grade fever. How do you confirm your diagnosis.
Patient - absence from school, unable to perform at school, affect learning curve Family -mother has to take care of him and not the other children (neglect) -mother has to bring him everytime replapse -treatment cost is a burden to family
Patient is now 8 years old. He presented with relapse. He has had 12 relapses in the past 5 years. What are psychological burden of chronic illness on patient and family?
Give cyclophosphamide. Monitor side effect of it : alopecia, neutropenia, haemorrhagic cystitis, gonadal toxicity
Patient is now 8 years old. He presented with relapse. He has had 12 relapses in the past 5 years. How do you manage
Neprotic syndrome: oedema, hypoalbuminemia, proteinuria Nephritic syndrome: hypertension, oligouria, haematuria in nephrotic syndrome, cx is hypoalbuminemia. in nephritic syndrome, cx is hyperalbuminemia.
Triad of nephrotic syndrome? Triad of nephritic syndrome? (hyperalbuminemia/hypoalbuminemia) in nephrotic syndrome, cx is _________. in nephrotic syndrome, cx is _________.