HIV In Children
 
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Specialist Answers
Question
what do u think can be the diagnosis for this girl.12 year old girl came to us with h/o fever for 5days,puffiness for 3 days and poor urine output for a day with lethargy and poor oral intake.on examination the child was pale,had bruises.temp 39 degrees,hepatomegaly 2.5cm below costal margin,facial puffiness,pedal edema,ascites.No s/s of failure.LFT- albumin 23g/dl,others normal,hb 7,platelet 100000,TWC 5,000.Urine protein ++,blood+++.the girl also has hypertension ,on tab nifedipine and tab captopril.blood culture and urine culture NG.retic 0.5,coombs negative,FBP pending.
Answer
Rule out acute renal failure. Also rule out leptospira, dengue, malaria and malignancy. One may also rule out HUS and a peripheral smear for Burr cells and reticluocyte count would be important. PLease let us know further progress in this case.
 
 
 
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