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6y.o girl is brought to the physician b/o a 4-week hx of headache, fatigue, and decreased appetite,N& V. At 4 y.o, she was diagnosed with poststreptococcal glomerulonephritis. She is at the 15th percentile for height and the 10th percentile for weight. PE: no abnormalities. BUN 50 mg/dL. Which of the following is most likely to limit progression of this patient's renal failure?
A. Increased potassium and sodium bicarbonate intake
B. Decreased sodium and daily calorie intake
C. Low-protein diet
D. Strict fluid restriction
E. Dialysis
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C ?
please April 17 post back
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its C 100 % its given in UW .low protein diet n ace inhibitors retard progression to crf
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I tend to agree with Ericz. I think the diet should be composed of at least a moderate amount of protein- about 0.8g/kg, not low protein. I think Harisson recommends to reduce Sodium and calorie intake, and increase potassium and calcium actually. Maybe B than
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It's C. low protein diet.
For a kid, giving low calories intake is not right.
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I think this cas is CRF after Post strep glomerulonephritis . C sounds good.
Not A bc we need restrict K+ intake
Not B , can't starve poor little girl
Not D, She's N&V, need more fluid
Not E : No indication for Dialysis??
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I newly developed a habit to be modest, for which I should start to correct right away. I should have typed "I am sure it is C".
