q.2_____________? - sarim

[ArchivalUser]

A 12 y/o girl comes to the physician because of two day hx of periorbital edema and abdominal distention.She has no other complaints.She has never been Dxed with Hypertension.Her father died at the age of 40 with renal failure.Her temp is 98.9F, BP 125/75, pulse 80/m, and respiration 14/m.Examination shows facial puffiness, shifting dullness, and 1+ bilateral pedal pitting edema.Urinalysis shows 3+ proteinuria and lipid laden casts.24-hr urinary protein excretion is 5 g/day. total serum protein is 4.5 g/dl and serum albumin is 2.3 g/dl.Which of the following is this pt at increased risk of developing ?

A-Macrocytic normochromic anemia
B-Accelerated atherogenesis
C-Hypergammaglobulinemia
D-Hypercalcemia
E-Hypoparathyroidism

[ArchivalUser]

bbb

[ArchivalUser]

due to hyperlipidemia.

[ArchivalUser]

A..decreased EPO production

[ArchivalUser]

correction...no macrocitic/normocytic anemia

[ArchivalUser]

so agree with lovetest

[ArchivalUser]

is this hyperlipidemia due to giving steroids in this patient

[ArchivalUser]

is there a potential for "Renal vein Thrombosis" in this pt ?

[ArchivalUser]

initially, there is an increased risk of deep venous thrombosis and particularly renal vein thrombosis in nephrotic syndrome

[ArchivalUser]

because there is a relative decrease in antithrombin.