12yr old boy with pallor, facial puffiness, pain abdomen for 1wk duration. O/e pallor, afebrile, no icterus, no sig. lymphadenopathy, facial puffiness , ent N , RS: mild distress, R crepts, air entry equal CVS: No tacycardia, no murmurs, pulse N PA : tender hepatomegaly , ascitis CNS : Normal vitals : BP 140/ 90 HR :100 RR: 34 crft/ pulse N labs: Hb: 7.2 urine : alb :4+, no rbc tc :7000 , n 67 l31 CXR : rll. Pneumonitis esr 25 & 30 smear : mild iron defi, USG :hepatomegaly,asicitis cholestrol : 102, B/L pleural effusion sgpt ; 12, ot ;14 protein ; 6.3, alb :3.3, ,renal funct ; Normal
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