Imaging Gross Pathology Micro Pathology
A 5-year-old white male presents with generalized edema and abdominal distention, producing respiratory embarrassment.
VS: normotension. PE: generalized pitting edema; free ascitic fluid in peritoneal cavity; shifting dullness and fluid thrill present; normal funduscopic exam.
UA: 4+ proteinuria (> 3 g/24 hours). Hypoalbuminemia; hypercholesterolemia; hypertriglyceridemia; decreased serum ionic calcium; normal C3 levels; moderately elevated serum creatinine and BUN.
Kidneys slightly enlarged, soft, and yellowish.
Light microscopy and immunofluorescent studies normal on renal biopsy (no evidence of immune complex deposition).
Corticosteroids; salt-restricted diet; diuretics; electrolyte therapy and monitoring.
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