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A 7 yo girl is brought to the Dr. bcz of 4 wk h/o headache, fatigue, and decreased appetite. During this period, she has had nausea and vomitting. At the age of 4 year, she was dx w/ poststrep GN. She is at the 15th percentile for Ht and 10th percentile for Wt. PE: shows no abnormalities. Her serum BUN: 50. Which is most likely to limit progression of this girl's renal failure?

A)Increased K and Na bicarbonate intake
B)Dec Na and daily calorie intake
*C)low-protein diet
D)Strict fluid restriction
E)Dialysis


and in CCS UW there is a case where they say 'high protein diet " in nephrotic syndrome

In patients with Nephrotic Syndrome, they have hypoalbuminemia and that causes edema. They need protein and albumin because they loose lot of protein in the urine.

Post Streptococcal GN: this patient has no physical abnormalities except BUN=50. High protein makes renal failure worse. Low protein diet helps. Looks like she has Only RBC casts and minimal proteinuria.

Plead correct me if I am wrong.