controversy - newboy

[ArchivalUser]

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

[ArchivalUser]

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.