what do u think canbe the dignosis 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.
|