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Tags
#exam #nephrology
Question
What do you do in an older child/adolescent presenting with minimal change ds nephrotic syndrome?
Answer
If presents w/ typical ft's, start w/ steroid therapy (also allows for specific dx based on response) and don't bx right away

unless has other atypical ft's: (indication for bx) - suggesting non-idiopathic MCNS
--age <1 y or >12y
--+ve fhx
--extrarenal ds (arthritis, rash, anemia)
--chr ds
--sx's d/t intravascular volume expansion (HTN, pulm edema)
--renal failure
--active urine sediment (red blood cell casts)

Tags
#exam #nephrology
Question
What do you do in an older child/adolescent presenting with minimal change ds nephrotic syndrome?
Answer
?

Tags
#exam #nephrology
Question
What do you do in an older child/adolescent presenting with minimal change ds nephrotic syndrome?
Answer
If presents w/ typical ft's, start w/ steroid therapy (also allows for specific dx based on response) and don't bx right away

unless has other atypical ft's: (indication for bx) - suggesting non-idiopathic MCNS
--age <1 y or >12y
--+ve fhx
--extrarenal ds (arthritis, rash, anemia)
--chr ds
--sx's d/t intravascular volume expansion (HTN, pulm edema)
--renal failure
--active urine sediment (red blood cell casts)

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